SPV 5K Run Walk (PDF)




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NEW

SPV 5K

NEW

COURSE

20th Annual Run/Walk

COURSE

Saturday, October 15, 2016
10:00 a.m.

Where:

St. Pius V School, 49 Elmhurst Ave., Providence, RI 02908

Registration:

Check-in begins at 8:00 a.m.
$18 on-line link - www.stpiusvschool-ri.org
$18 mail-in (received by Oct. 12) - $25 after October 12

New Course:

Brand new course through our Elmhurst community and scenic
neighborhoods. Course calibrated by Ray Nelson (USTAF)
Map available online at www.stpiusvschool-ri.org

Race shirt:

Long-sleeved shirts to first 200 applicants.

Refreshments:

Drinks, fruit, and snacks provided to all participants at finish line.

Awards:

Awards to first finisher in each category: Youth (14 & under),
Junior (15-19),
Open (20-39), Master (40-49), Senior (50-59), Veteran (60+)
Prize to the SPV School grade with most registered student
finishers.

Contact:

Ozzie Kooloian (401) 241-4612 / akooloian@aol.com

_________________________________________________________

St. Pius V 20th Annual 5K Run/Walk
Mail entry and check to:

St. Pius V School, c/o Road Race, 49 Elmhurst Avenue, Providence, RI 02908

Name

Age

Address

Phone

City

State

Zip

Sex ______
Circle Shirt Size:

(Adult S, M, L, XL, XXL / Child M, L)

Email _________________________________ Grade_______
Circle one if St. Pius: School Student

School/Rel.Ed Parent

School Alum

Rel.Ed Student

Waiver of Liability: I agree not to hold St. Pius V Church, the event sponsors, the City of Providence or any of the individuals
associated with this event liable for injuries or damages that I might sustain as the result of my participation in this event. I also give
permission to St. Pius V Church (and its agents) to use my name, photograph(s), and/or video(s) of my participation in this event
without any obligation or reimbursement to me. Strollers, baby-joggers, roller blades, and/or bicycles are not allowed to compete in
the race. If warning is disregarded, St. Pius V Church, the event sponsors, the City of Providence or any of the individuals associated
with this event are not liable for any injuries that may result.

Signature

(Signature of parent or guardian if under 18)

Date






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