Entry Form - Race Timing Unlimited

Stage Door Productions presents:
Break A Leg!
A 5k Run/Walk for
Fredericksburg Community Theatre
March 14, 2015
Courthouse Village
This race was formerly Feet for Seats
PURPOSE: Proceeds will go toward Stage Door Productions and its programs in the Fredericksburg area.
Stage Door Productions is a 501 (c)(3) non-profit charity.
COURSE DETAILS: 1 loop course with the start/finish at the Spotsylvania Courthouse Village Pavilion taking you through
historic downtown Spotsylvania and through the Confederate Cemetery. Please see the Race Timing Unlimited website for
a course map. Course will be a measured 5k course and Winning Chip provided by Race Timing Unlimited. Address: 7610
Heths Salient Street Spotsylvania, Virginia 22553. Parking is provided in the lots or the field adjacent to the pavilion.
AWARDS: We have top 3 finishers in the following age groups for both male and female:
Overall – CASHPRIZES! Trophies for top 3 in AGE GROUPS: 8-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60+
WATER and REFRESHMENTS: We will have water stations for the racers and refreshments after the race.
T SHIRTS: All runners registered prior to March 1 are guaranteed a t-shirt. All others are not guaranteed a shirt.
COST: $25, January 1 through February 1. $30, February 2 through March 9. $35 race day registration.
CHECKS payable to: Stage Door Productions
REGISTER AT: www.racetimingunlimited.org or on race day at the event, or
MAIL IN TO: Stage Door Productions, Attn: Break A Leg!, P.O. Box 8451, Fredericksburg, VA 22404
Do not mail in registration packets after March 7, 2015. Race day registration will be available.
PACKET PICK-UP: You may pick up your race packet at Virginia Runner on Friday, March 13 from 4pm-7pm.
You may also pick up your packet on the day of the event. Please arrive 45 minutes before the race to check-in. Check-in
will be in building #120, adjacent to the pavilion. Unclaimed packets will not be mailed to entrants.
Kids 1 Mile Fun Run: We are offering a Kids 1 Mile Fun Run at 9:00am for all kids up to grade 5. Parents may
run alongside for free! The cost of the Fun Run is $15 until March 9 and $20 on the day of the event. Also, join us
for our St. Patrick’s Day Family Festival at the Spotsylvania Courthouse Village until 11:00am with local
businesses, performing groups, and family-friendly activities to celebrate St. Patrick’s Day! SCHOOL SPIRIT
AWARDS! Show your St. Patrick Day Spirit and your school group could win prizes! The school group with the
most participants will win $150 for their school group. Be sure to sign up on the registration form!
NAME _________________________________________
M or F
Kids 1 Mile Fun-Run
DOB ____________
AGE on race day _____
ADDRESS _____________________________________________________________________
PRICE $ ____________________
ADDITIONAL DONATION $ ____________________
TOTAL $ ____________________
SCHOOL GROUP AFFILIATION _______________________________________________________________
I know that running or walking a race is a potentially hazardous activity and that I should not enter and run/walk
unless I am medically able and properly trained. I assume all risks associated with running in this event including
but not limited to, falls, contact with other participants, and the effects of weather, traffic and road conditions, all
such risks being known and appreciated by me. I agree to abide by any decision of race officials relative to my
ability to safely compete in the run/walk. Having read this waiver and knowing these factors, and in
consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive, release
and indemnify Stage Door Productions, and all its agents, officers and employees, RacetimingUnlimited and all
its agents, officers and employees, the sponsors of this race, any government entities, and any other sponsors,
persons or organizers associated with the race and their representatives and others from all claims or liabilities
of any kind arising out of my participation in this event even though liability may arise out of negligence or
carelessness on the part of the persons named in this waiver. I grant permission to all foregoing to use any
photographs, motion pictures, recordings or any other record for this event or any legitimate purpose. Race
management reserves the right to alter or cancel the race for safety reasons-NO RAINDATE, NO TRANSFERS,
NO REFUNDS. Race management reserves the right to change prizes and awards. Runners shall return the
Winning Time Chip to Race Timing Unlimited at the completion of the race. Runners not returning their chip will
be billed $10. To ensure runner safety, unregistered runners, unauthorized vehicles, bicycles, skateboards, roller
skates and roller blades, the wearing of headphones, and running with dogs are prohibited on the course.
Date ___________ Signature (or parent, if under 18) _____________________________________________
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