THE LITCHFIELD COMMUNITY CENTER, INC.
421 BANTAM ROAD ~ LITCHFIELD, CT 06759
A PRIVATE NON-PROFIT ORGANIZATION
*10TH ANNUAL BOB ANDRULIS MEMORIAL “SWEETHEART”
5 MILE RUN ~ 3 MILE WALK
SATURDAY FEBRUARY 11, 2012 11:00 A.M.
FAST TRACK COMPUTERIZED TIMING SYSTEM
Thank You to our sponsors & many volunteers!
START & FINISH LITCHFIELD COMMUNITY CENTER
421 BANTAM ROAD ROUTE 202 LITCHFIELD
COURSE IS OF VARIED TERRAIN
PRE-REGISTRATION:
$20.00* ADULTS $5 CHILDREN (10 & UNDER) 80 & OLDER FREE!
*$25 AFTER 2/09/12 and Day of Race
PROCEEDS TO BENEFIT LITCHFIELD COMMUNITY CENTER
T-shirts, “goodie bags”, great refreshments and age division prizes
(Voted “Best Schwag” Runner's World 2008!)
RUNNERS & WALKERS OF ALL AGES WELCOME TO JOIN IN THE FUN!
OR DETACH APPLICATION AND MAIL WITH CHECK PAYABLE TO:
LITCHFIELD COMMUNITY CENTER 421 BANTAM RD LITCHFIELD CT 06759
REGISTRATION DAY OF EVENT 9:00 - 10:45 A.M.
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NAME____________________________AGE______ GENDER__________
*RUNNER_____________ or *WALKER___________________
STREET_______________________________
TOWN ______________________________STATE______ ZIP____________
EMAIL:__________________________________________________________
* PLEASE CIRCLE T-SHIRT SIZE: SMALL ~ MEDIUM ~ LARGE ~ X-LARGE
*LONG SLEEVE T-SHIRTS GUARANTEED FOR FIRST 200 REGISTRANTS*
PLEASE READ AND SIGN BELOW
I, BEING DESIROUS OF PARTICIPATING IN THE 10TH ANNUAL BOB ANDRULIS MEMORIAL SWEETHEART RUN/WALK, HEREBY AGREE TO HOLD HARMLESS THE LITCHFIELD COMMUNITY CENTER, IT'S OPERATING ORGANIZATION, THE LITCHFIELD COMMUNITY CENTER, INC. , DEP, CL&P, WHITE MEMORIAL FOUNDATION, WOODS EDGE, LLC AND ANY PROPERTY OWNER OR VOLUNTEER ASSOCIATED WITH THIS EVENT FROM ALL CLAIMS ARISING OUT OF ANY AND ALL PERSONAL INJURIES, DAMAGES, EXPENSES AND ANY LOSS OR DAMAGE WHATSOEVER RESULTING OR WHICH MAY RESULT FROM MY PARTICIPATION IN THIS EVENT. I ALSO CERTIFY THAT I AM PHYSICALLY FIT AND SUFFICIENTLY TRAINED TO COMPETE IN THIS EVENT.
REQUIRED SIGNATURE HERE:_____________________________________ DATE:______________
LEGAL GUARDIAN SIGNATURE FOR MINOR:__________________________________________
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