Author: Anne Patrick

Date: January 15, 2011
Time: 7:00 a.m. Registration & Check-in
7:30 a.m. 1-Mile Fun Run (14 & under)
8:00 a.m. 5K Walk/Run (15 & over)
Location: Quail Valley River Club
Parking: Quail Valley River Club
Course: Scenic Route in and around Riverside Park—Begins and Ends
At Quail Valley River Club
Entry Fee*: Child $15.00 & Adult $25.00 (add $5.00 for day of race registration)
*Race Day Entries will be accepted at 6:00 am on race day.
*Fee includes Event Wristband and Logo T-Shirt to the first 150 runners
Team Fee: 5 or more runners $15.00 each (attach additional racers with pertinent
information to registration form)
Awards: Age group awards to top 3 male and female finishers in following categories:
1-Mile Fun Run: 5—7, 8-9, 10-11, 12-14
5K Run: Male Overall & Female Overall
15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Packet Pickup: Monday, January 10 through Friday, January 14 at Quail Valley’s Front Gate
Saturday, January 15 at the registration table

SPONSORED BY

CARPENTERS
FOUNDATION
OF FLORIDA

OCEANSIDE
TITLE

NAME _____________________________________________________ M / F (CIRCLE ONE)
ADDRESS___________________________________________________________
CITY ___________________________ ST __________ ZIP __________________
PHONE ______________________ AGE On Day of Race ________
T-shirt size: S M L XL (Youth / Adult) (CIRCLE ONE)
Amount Enclosed: $__________
I Hereby express and affirmatively state that I, or my child named herein wish to participate in the above stated activity. I realize that participation in this activity involves risks of injury, including but not limited to loss of future earning capacity, loss or damage to personal property, various degrees and severity of injury, all other possible risks of injury and even death which occur by reason of me/my child’s participation and release Martin County/Sailfish Striders/sponsors, its agents, employees there from. I voluntarily choose to participate, or allow my child to participate, assuming all risks. Insurance available ($6.50 for under 18 and $13 for adults) see recreation staff for more information.
Participant/Parent/Guardian ____________________________________________________ Date ___________________ Parent Must Sign Waiver if Child is Under 18 Years Old

MAKING STRIDES
FOR
CHILDREN

Mail all Race Entries and Check Payable to: Quail Valley Charities,
Attn: Anne Patrick, 2345 Highway A1A, Vero Beach, FL 32963
(772)492-2033