FAIRLINGTON 5k


1K Fun Run/Walk

Saturday, April 3, 2004

A Race Benefiting
"Aluminum Cans for Burned Children"

8:OOAM - 5K Run Start (Rain or Shine)
8:30AM - 1K Fun Run/Walk (Rain or Shine)


Race Location:

• Race begins and ends at the Fire Department located at 3116 South Abingdon Street, Arlington

• Parking located on streets. Please consider car-pooling or walking if you can.

            Parking in Fairlington Community lots is PROHIBITED and you will be towed.

Registration:

• Entry Fee: 5K - $20 (After March 26 - $25); 1K - $15 (After March 26 - $20)

• Mail Entry Form and Check Payable to:

            Fairlington 5K, 2300 Clarendon Boulevard, #306, Arlington, VA 22201

• Race Day Registration: 7-.OOAM - 7:45AM at the North Fairlington Community
Center located at South Abingdon and 30th Streets

• Please feel free to bring your aluminum cans to the race to donate to
"Aluminum Cans for Burned Children"

 

Packet Pick-Up:

• You may register and/or pick up your race packets at PACERS Running Store located at: 1301 King Street, Old Town Alexandria (corner of King and Payne Streets)

• Friday, April 2, 2004 between the hours of 10:00AM-8:00PM.

 

Awards:

• Prizes will be awarded to the top 2 male and female 5K finishers

• Prizes will be awarded to the top 2 male and female 5K finishers in all
age groups: 19 and under; 20-29; 30-39; 40-49; 50-59; 60 and older

• All 1K Fun Run/Walk finishers will receive a prize

• Door prizes will be available - must be present to win

• T-Shirts guaranteed to all pre-registered runners; shirts and sizes may be limited on race day

 

Information:

Contact Race Director: Cory Loudenslager at (703) 522-7500

 

REGISTRATION FORM

Saturday. April 3, 2004

• Entry Fee: 5K - $20 (After March 26 - $25)
1K - $15 (After March 26 - $20)

• Pre-Registration: Mail Entry Form and Check Payable to:

Fairlington 5K, 2300 Clarendon Boulevard, #306, Arlington, VA 22201

• Race Day Registration: 7.-OOAM - 7:45AM

 


Name: __________________________________________ Age on Race Day: _______

 

Address: ________________________________________ Phone: _________________

 

________________________________________________ Date of Birth: ___________

 


Race:              _ 5K Run                     _ 1K Fun Run/Walk

Gender:          _ Male                         _ Female

Shirt Size:       _ Child                         _ Medium                      _ Large             _ X-Large

 

__ Additional Donation to "Aluminum Cans for Burned Children" is Included: $_

 

Liability Waiver Must Be Signed:

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. I agree to abide by any decision of a race official relative to my 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 and/or humidity, traffic and the 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, waiver and release the organizers of the Fairlington 5K race, Arlington County, Fairlington Villages, "Aluminum Cans for Burned Children" and all other 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 permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

 

Signature (parent or guardian if under age 18): _____________________________