Bulldog Breakaway Twilight Series Summer 2017 Event Details What: 5K Run/Walk series When: Thursday nights Where: Start and Finish at Willson Field on The Citadel’s Campus. Course: Certified 5K – 1 lap on Citadel’s Campus, 1 lap around Hampton Park, and back around Citadel’s campus. Race Day Schedule 5:45 – 6:15pm – Late registration and packet pickup 6:30pm – Race Start Registration Fee (Run and Walk) To register, print out this form, fill in the fields below, and mail with your check. Print out one copy per entrant and sign the bottom. $50 for all 4 races without T-shirt/$60 for all 4 races with T-Shirt $15 for Early Registration for Individual Race without T-Shirt (Registration received 11 days before Race Day) $20 for Registration for Individual Race without T-Shirt (Registration received 1 – 10 days before Race Day) $25 for Late Registration for Individual Race without T-Shirt (Registration received on Race Day)
Race Information Contact: Jody Huddleston, Race Director (843)708-9621 or e-mail him at
[email protected]. Make Checks payable to: Bulldog Breakaway 5K Series Mail Entry to: Citadel Track and Field 171 Moultrie St Charleston, SC 29409
Entry Form Pay & Send to Bulldog Breakaway 5K Series – C/O Jody Huddleston – 171 Moultrie St Charleston, SC 29409 ALL BLANKS MUST BE COMPLETED IN ORDER TO PROCESS YOUR REGISTRATION – PLEASE PRINT CLEARLY
Name: _______________________________________ Address: _____________________________________ City: ______________ State:______ ZIP: ___________ Age: ____ Sex: M/F
E-mail: ____________________
May 18 June 1 *Please check the appropriate box which race you are registering June 15 for for. T-shirt size is if you register June 22 for all races. All 4 races T-Shirt Size:_____
X_________________________________________ Signature (parent or guardian if entrant is under 18) Participant Waiver: I understand that participating in this event is potentially hazardous and that I should not enter and participate unless I am medically able and properly trained. I attest that I am physically fit and sufficiently trained to participate in this event. I also give my permission for the free use of my name and/or likeliness in any broadcast, telecast, or written account of this event. In consideration of my entry being accepted, I hereby, for myself, my heirs, assigns, executors and administrators, waive any and all rights claims for damages arising from illness, injury, or death I may suffer as a result from participation in this event. I also understand the entry fee is non-refundable and non-transferable for any reason.