Sat. Jan. 15th, 2011 Entry Form
Name_____________________________________
DOB__________Race Day Age_________Sex______
Address___________________________________
City________________State_______Zip_________
Phone (____)_____________
CHECK ONE EVENT:
5k run ___ 10 k run ____ 5k walk____ Kids run _____
5K RUN OR WALK $12 early by 1/13/11 or $15 race day
10KRUN $15 early by 1/13/11 or $20 race day
(18 and under run for only $10)
Kids 1 mile Fun Run $10 early or race day. Mills kids will probably have competition this year! LOL
Make Checks Payable to: Lisa Vorwerk
and mail to:
John Hunnicutt, PO Box 1771, Danville AR 72833
T-shirt Size: S M L XL (circle one)
RACE WAIVER: “Danville No Name 10k Strikes Back to 1983!” T-shirts are Star wars Theme!
Release:
I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in this race 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 and volunteering to work in club races including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, the conditions of the road and traffic on the course, 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 River Valley Runners Club, the City of Danville, ArkansasRunner.Com and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the race and/or club activities 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 the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.
SIGNATURE_________________________________________
UNDER 18 REQUIRES A PARENT SIGNATURE.
For more info call: John Hunnicutt, Race Director 479-622-3026 or
Lisa Vorwerk, Assistant Race Director 479-747-1889 or email Lisa at
vorwerk@centurytel.net
Proceeds benefit the Danville Adult Learning Center!
Registration & Packet Pickup:
1st Baptist Church of Danville
1009 Main Street, Danville 72833
Follow the 5k Signs…..Google a map!
Begins at 7 am and closes at 9:45 am.
Race starts promptly at 10am.
5k/10k runners will split and go in
different directions within 100 yards
of the start.
The 5k course is a scenic residential
loop with a view of Danville Mountain. The 10k
course is basically a loop with
An out and back section. Half flat, half
hill (up and down)….challenging but not
impossible!
Free massages after the race! Spaghetti Dinner
provided by the Danville First Baptist Church!
10 K overall awards are Holloway Pullovers ($44 value)
5k overall Awards are beer steins with racing medallions/engraved plates on them. ($25 value)
Medals for age group awards! In the normal breakdown!
Good Luck to all!