A Race To Remember

5K (3.1 Mile) Run/Walk

Saturday October 8, 2016
Millennium Park
9:00 A.M.
Registration begins at 8:00 A.M.
A Race To Remember 5K shirts for all participants
The Course: Millennium Park Course Water will be available on the
course. (Race timing will be chip timing this year and results by Rick
Serres)
Age Divisions:
12 and under 55-59
13-17
60-64
18-24
65-69
25-29
70+
30-34
35-39
40-44
45-49
50-54

Entry Fee: $25.00

Race Day: Registration will be $30
Registration on race day will be from 8:00 a.m.-8:45 a.m.
Proceeds: Thanks to our generous sponsors and working with Danvilles
Morning Pointe, 100% of the entry fees go directly to Alzheimers Organization.
(Sorry, entry fees are non-refundable & non-transferable).

AWARDS
Awards for 1st, 2nd and 3rd place male and female winners in each age
division.
Overall Male and Female
Master and Grand Master

---------------------------------------------------------------------------------------------------------------------Make Check Payable To:

A Race To Remember 5K Run/ Walk
Mail registration fee and registration form To:
A Race To Remember
c/o Krista DeWolfe
122 War Admiral Apt. 1
Danville, Ky 40422

Adult Shirt Size: circle one

S
M
L
XL
Other: ________________
Youth Shirt Size: circle one
S
M
L
XL

For more Information Contact:

For more information on the race contact:
Krista DeWolfe (859)583-5934
or visit our websites at:
www.aracetoremember.com
http://facebook.com/aracetoremember
online registration at http://aracetoremember.eventbright.com
online registration will be ready available the week of September 26, 2016

Additional shirts ($9.00 please include with

registration fee)
Size : S M L XL Adult or Child
Other: ___________________

Last Name: ______________________________ First Name: __________________________

Address: ___________________________________________ Phone: ____________________
City: __________________________________ State: _________ Zip: ____________________
Age: __________

(Please Mark) Male ____ Female ____

Name of loved one you are running for:_____________________________________________

Waiver of Liability: In consideration of the acceptance of my entry, I hereby, for myself, my heirs, executors and administrators, do release and
discharge any and all sponsors of this 5k Run/Walk of any damages, demands or actions in any manner arising or growing out of my participation in
the run/walk. I attest and verify that I have full knowledge of the risk involved in this event and that I am physically fit and sufficiently trained to
participate. I give permission for photographs to be made to be used solely for publicity and training purposes by the A Race To Remember 5K.

Signature: _________________________________________________________________________
Parent or Guardian Signature (If under 18)______________________________________________