FAMILIES FIRST 5TH ANNUAL 5K RACE & 1 MILE FUN WALK

Official Entry Form

October 6, 2007 - Wind Gap Borough Park - Rain or Shine

Time:  9:00 AM - Registration will begin 7:45 AM on race day

 

Please submit a separate form for each participant.  Photocopy or print more as needed.  Awards given for the fastest overall male and female, and top three finishers in each age category.  One mile fun walk is noncompetitive.

 

Non-Refundable Entry:  $15 per person or $30 for a family of three before September 30th; $18 per person after September 30th.  Family entries must be mailed together.  Entry includes quality T-shirt, bagels, family entertainment, and an opportunity to support a worthwhile cause.

 

Name  _________________________________       [    ] male    [    ] female   ___Run   ___Walk

 

Address  _______________________________      Age on October 6th  ___________

 

City/State/Zip  _______________________________________       ------ Shirt Size -----

                                                                                                    

Phone _________________________ Date ___________  Adult:   [    ] S      [    ]  M        [    ]  L

                                                                                                            [    ] XL   [    ]  XXL 

E-Mail  _____________________________________________

 

Age Groups:   11 - 18                19 - 29                    30 - 39                      40 - 49                      

(circle one)

                                     50 – 59                                               60 and above

 

I assume all risks associated with running this event, including, but not limited to:  falls, contact with other participants, the effects of weather, traffic, and the conditions of the road, all such risks being known and appreciated by me.  Having read this waiver and knowing these facts and in consideration of our accepting my entry, Families First, race officials, volunteers, and all sponsors, their representatives, and successors, are hereby and forever released from any and all claims or liabilities of any kind arising out of my participation in this event.  I grant permission to all of the foregoing to use any photographs, motor picture, recording or any record of this event for any legitimate purpose.

 

________________________      ____________________________________________

                      Signature                                    Signature (parent/guardian) if under 18

 

Checks payable to:  Families First           Mail to:     Families First Race Committee

                                                                                      c/o Plainfield Elementary School

                                                                                      539 School Road

                                                                                     Nazareth, PA  18064

Questions/Directions:  Call Phil Giaquinto (610) 746-4436 (M-F 7:30 am - 3:30 pm) or email at  giaquinto.phil@penargylsd.org

 

Thank you for supporting “Families First”


Fifth Annual

*       Families First       

5-K RACE 'N WALK

October 6, 2007

Wind Gap Borough Park

Sponsorship Packages

 

PREMIER SPONSOR - $1,000                                 CORPORATE SPONSOR - $500 (to $999)

§         Opportunity to display corporate banner                         Opportunity to display corporate banner

§         Top logo listing on t-shirt*                                             Prime logo listing on t-shirt*

§         Opportunity to provide publicity items                             Opportunity to provide publicity items

§         Mention in Pre-event Media Publicity                            Mention in Pre-event Media Publicity

§         10 registrations for Run/Walk                                        5 registrations for Run/Walk

§         Recognition in Newsletter                                             Recognition in Newsletter

 

LOGO SPONSOR - $250 (to $499)                           NAME SPONSOR - $100 (to $249)

§         Logo listing on t-shirt*                                                   Name listing on t-shirt*

§         Opportunity to provide publicity items                             Opportunity to provide publicity items

§         3 registrations for Run/Walk                              1 registration for Run/Walk

§         Recognition in Newsletter                                             Recognition in Newsletter

 

 

YES, WE WOULD LIKE TO BE A SPONSOR FOR FAMILIES FIRST 5-K RACE ‘N WALK!

 

Company Name _____________________________           Contact Name __________________________

                                (as it will appear in listing)              Contact Phone Number __________________

Company Address___________________________      Contact Fax Number ____________________

___________________________________________          Contact Email__________________________

 

□ Premier - $1,000     □ Corporate - $500         □ Logo - $250           □ Name - $100

 

*Deadline for logo/name inclusion on t-shirt:  September 7, 2006

 

Make check payable to:  Families First

Mail to:                            1620 Teels Road, Pen Argyl, PA  18072

 

For information:            Call Frank Jones, Families First Director at 610-863-3688

jones.frank@penargylsd.org