2015 Bowlegs Registration Form

41st Billy Bowlegs
5K Run/Walk
9:00 PM June 6, 2015
Packet Pickup/Registration:
May 23rd- Gate-to-Gate Run at Eglin AFB
May 30th – 11:00 AM to 4:00 PM at Run With It
June 2nd- 5:00 PM to 7:00 PM at Run With It
June 6th- 6:00 PM to 8:45 PM at FWB High School
Register Online at www.active.com or obtain printable
entry forms at www.nwftc.com or area gyms.
Course Start and finish line will be at Fort Walton Beach
High School on Wright Parkway. The 5K course is a flat
circuit winding through the neighborhood near the school.
Water Stations There will be two water stations on the
course - near mile 1 & 2. Water and fruit at the finish line.
Commemorative T-Shirts
Guaranteed to first 800 participants to register.
Awards Pickup Awards will be presented at the Awards
Ceremony at Liza Jackson Park. Awards will not be
mailed.
Awards- Runners
Top 4 Overall male & female
Top 3 Overall male & female Masters
Top 2 overall male & female Grandmasters
Top overall male & female Great Grandmasters
Four deep for male & female age groups:
0-9, 10-14, 15-19, 20--24, 25-29, 30- 34, 35-39, 40-44,
45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80+
Additional Information
Check www.nwftc.com or contact Ken Wolf at
email [email protected]
Entry Fees (non-refundable)
$22.00 - until May 26th (postmarked)
$25.00 - May 27th through June 2nd
$30.00 - Race Day June 6th
$ 2.00 - Disc. For NWFTC Members Before May 26
Race Parking Parking is available at FWB High School and at
Liza Jackson Park.
Post Race Party The Awards Ceremony and party will be at Liza
Jackson Park with food, drinks and live music in the west pavilion
near IHOP.
Race Results Complete timing and results will be available at
GulfSport Timing - gulfsporttiming,com
Awards-Walkers/Other
Top overall male & female and Wheelchair
Top overall male & female Masters
Top overall male & female Grandmasters
two deep in the following age groups:
0-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
Awards- Team
All Team Registrations Must Be Mailed Together and Picked
Up Together. Teams Must Have a Minimum of Four (4)
Runners to Be Scored
Top overall open team (must be a coed team)
Top overall corporate team (must be a coed team)
----------------------------------------------------------------------------------------------------------------------------- --------------------------Race Number
Billy Bowlegs 5K Run/Walk Entry Form 9:00 PM Jun 6th, 2015
(COMPETITIVE RUNNERS
Run
Open Team
First
Name
AND CASUAL JOGGERS)
Corporate Team
(COMPETITIVE AND CASUALWALKERS)
Walk
NO RUNNING…, WALKING ONLY
Team Name
Last
Name
Age
Date of
Birth
Address
City
Official Use Only
Wheelchair
ST
ZIP
M
M
/
D
Male
Make checks payable & mail to: NWFTC / P.O. Box 911 / Shalimar, FL 32579-0911 Shirt Size (Circle) S M
D
/
Y
Y
Female
L XL XXL
I know that running a road race is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained and by my signature, I certify that I am medically able to perform this event, am in good health
and am properly trained. I agree to abide by any decision of a race official relative to m y ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants,
the effects of the weather including high heat/humidity, traffic and conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for
myself and anyone entitled to act on my behalf, waive and release the Northwest Florida Track Club, the Road Runners Club of America, the City of Fort Walton Beach, and all sponsors, their representatives and successors from all claims or
liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant full permission to all the foregoing to use my name and images of myself in any photographs,
videotapes, motion pictures, results, publications or any other print, video graphic or electronic record of this event for legitimate purposes.
SIGNATURE __________________________________________________________________________ DATE _________________________
(Signature of parent if entrant is under 18)
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