“14th Annual 5K Race and Fun Run” Chase For Cupid’s Arrow Saturday, Feb. 11, 2017 10:00 a.m. Rutherford College, NC 5K Registration: $20 Before Feb. 3, 2017 $25 After Feb. 4, 2017 1-mile Fun Run Registration (ages 12 and under): $12 Before Feb. 3 $15 After Feb. 4 ***RUNNING CLUBS CALL FOR SPECIAL PRICING (828)-879-8870 Race Day registration and packet pick-up begins at 8:30 a.m. in the school gym. Event: 5K start time 10:00 a.m. In the event of inclement weather, we will delay the start time. If a delayed start is not possible, the make-up date will be February 25, 2017. Please refer to the race website http://rces5K.wix.com/race . Contact Information: Contact the school office at (828) 879-8870. Directions: From Interstate 40, Exit 113 (Rutherford College Exit) Turn LEFT going east or RIGHT going west. Travel 1.5 miles. Turn RIGHT onto Honeycutt Drive. School is on the left. Gym is behind school. T-Shirts: All 5K entries received on or before Feb. 5 will receive a long sleeve t-shirt. We cannot guarantee shirts to entries received/postmarked after February 4, 2017. Awards: Top 3 male and female finishers, age groups 3 deep (male and female), no double awards: 1-10, 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-80, 81+. Checks made payable to: Rutherford College Elementary School Mail to: Chase for Cupid’s Arrow, PO Box 247, Rutherford College, NC 28671 ____________________________________________________________________________________________  One Registration Per Person (PLEASE) Name ___________________________________________________ Address _________________________________________________ City/State_____________________________ Zip ______________ Phone __________________ Emergency Contact & Phone________________ Email ____________________________________________________ Age on Feb. 10, 2017 _______

Gender: Male ___ Female ___

I will be participating in the ______5K or _____ Fun Run (**12 and under only) Circle Shirt Size: ADULT:

S

YOUTH: S (6-8)

M

L

XL

M (10-12)

**XXL available for an additional $2. L (14-16)

______________________________________________________________ Athlete’s Release In consideration for acceptance of this entry, I, intending to legally bind myself, my Heirs, Executors, & Administrators, do hereby waive and release any and all rights and claims for damages, injuries, or losses I may have against any and all event officials, and all organizations conducting this event (including but not limited to the Rutherford College Elementary School, the Town of Rutherford College, and event sponsors, volunteers, rescue and support personnel as well as their agents, successors and assigns). I additionally assume full responsibility for taking cognizance of weather and course conditions at race time. It is my further declaration that I consider myself to be in physical condition that will enable me to participate in this race. I understand that images/photographs may be taken of me during this event which may be used for promotion of this and future events.

_____________________________

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Signature of Entrant

Signature of Parent/Guardian if under 18

Date: __________________________________