19th Annual Berlin Heights Basket Festival
Bettcher Industries - Basket 5k Run
& 1st Annual Citizens Bank – 1 Mile Fun Run
This year's race will be conducted by: The Firelands Area Runners Club
When: Sunday August 8, 2010 - 9:00 am Basket Run 5K, 9:05 am 1 Mile Fun Run
Where: Memorial Park, Memorial Drive, Berlin Heights, OH 44814
Registration Fee: $10.00 pre-registration (nonrefundable), $12.00 day of the race
Pay by check or money order to: Basket Festival
c/o Basket Festival Committee, P.O. Box 378, Berlin Heights, OH 44814
T-Shirts: Provided to the First 150 runners registered
Awards: Plaques to 1st and 2nd overall male/female runners. Medals to the top 3 in each age group. 1 Mile Fun Run will not receive awards.
Door Prizes: All 5K finishers will be eligible to win, winners must be present. Prizes include: Kalahari Resort Water Park Passes, Indian Tickets, Mayors Trophy for both Women and Men's division, and much more.
2010 Basket Festival 5K Run & 1 Mile Fun Run Registration Form
By my signature I attest that I'm physically trained to participate in this event. I have full knowledge of risks involved. I further acknowledge that the race course may contain uneven surface conditions, including but not limited to potholes, curbs, and tree roots which may create a risk. I further acknowledge that at least part of the course is on public roads and that vehicular traffic may be encountered and I accept those risks. I understand that bicycles, skateboards, roller skates, in-line skates, animals and radio headsets are not allowed and I will abide by this guideline. I further acknowledge that weather conditions including heat and humidity may be a risk which I accept. Therefore having read this waiver, and in consideration of the acceptance of my entry, I for myself, my heirs, my representatives, my executors and administrators waive any and all rights and claims for damages I may have against Berlin Heights race sponsors, the village of Berlin Heights and any individual associates with this event and agree to release and will hold them harmless for any and all injuries I may suffer in conjunction with this event.
Name: __________________________________________ Sex: Male or Female (please circle gender)
Address: _______________________________________________________________________
City, State Zip: _______________________________________________________________
Age day of race: _________ T-Shirt Size: M L XL XXL (circle one)
Phone: ____________________
Signature________________________________________ Date________________
(Parent must also sign below if entrant is under 18 years of age.)
PARENT or GUARDIAN________________________________ Date____________
Race registering for: 5K Run 1 Mile Fun Run (circle one)
Male/Female: 12 and UNDER, 13-15, 16-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-69, 70+, Clydesdale (190 pounds and over)
Visit us online @ www.basketfestival.com