Team Packet 2013
Team Packet 2013
Team Packet 2013
Team Divisions
Anyone is eligible to form a team. At least six (4mile) or four (10-mile) team members must cross the finish line to place in the team standings. You may enter a team in one of the three divisions:
TEAM INFORMATION
COMPETITIVE OPEN-All others NON-COMPETITIVE FUN RUN/WALKFor the Modine Fun/Run Walk
Race Distances
Participants can choose from 4 routes: 2-mile or 4-mile Modine Fun Run 4-mile or 10-mile Competitive
Start Line:
Racine Family YMCA, 725 Lake Avenue Downtown Racine
Finish Line:
On Main Street between 5th & 6th Street at Monument Square (4 blocks from start)
Post-race Festivities
Post-race festivities will take place at Monument Square and Sam Johnson Parkway. There will be music to entertain you and beer, athletic drink, water, fruit and snacks until the awards begin at approximately 10:30 a.m.
Team Awards
Traveling Team Trophies will be awarded to the winning teams in the Corporate and Open divisions in the 4 mile and 10 mile Competitive Runs. The scoring members of the top five teams will also receive an individual medal. Team scoring is based on the combined time of the teams first six eligible runners (4 mile) or first four eligible runners (10 mile). VISIT OUR WEB SITE.. www.lighthouserun.com
LIGHTHOUSE Run
1. Recruit a Team
TEAM CHECKLIST
Come out and support the YMCA's Strong Kids Scholarship Campaign and enjoy a day of fun, exercise, music and refreshments with your co-workers, family and friends. We look forward to another great year. See you there.
2. Collect Registrations/Fees
Collect entry forms, make sure all forms are signed, t-shirt and race are filled out Collect entry fee from each participants ($15 Fun Run/Walk, $20 4&10 Mile) Collect team entry fee from participants or team company/organization
LIGHTHOUSE
Deadlines:
May 30, 2013 June 7, 2012 (No logo/No delivery of T-shirts)
Entry Fee
Please fill in number of team members per category: Total # Fun Run/Walk Members____x$15=______ Total # 4&10 Mile Members_______x$20=______ Team Fee (see Below) XX-Large T-Shirt fee Total due + _________ #______x $2 =_________ $__________
T-shirt order
Sizes (T-shirt orders will be filled according to sizes below-please verify your total count!) _____Youth (10-12) _____Adult Small _____Adult Medium _____Adult Large _____Adult X-Large _____Adult XX-Large (add $2 per XXL shirt) Total number of participants on your team_____
Please make a photocopy of this form for your records Our Company is participating in the Racine Family YMCA Corporate Cup Challenge Yes No
LIGHTHOUSE Run
Attention Team Captain
Please complete this form, listing all your team members. This form must be enclosed with your team registration. Please make a copy of this completed form before you send in your team registration for your own reference (If you anticipate more than 25 participants, please make copies of this form before you fill it out!). You can also use our excel file to fill in your team names.
Member Name Shirt Size 10 Mile Comp 4 Mile Comp 2/4 Mile Fun Run Registration Form Paid
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
:__:__:__:__:__:__:__:__:__:__:__:__:__: :__:__:__:__:__:__:__:__:__:__:
NAME: Last First
:___: sex
M=male F=female :___: W for wheelchair
Date of Birth
:___:___:___: mo day yr :____: AGE: (raceday)
;__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:
Address: Number and Street
:__:__:__:__:__:__:__:__:__:__:__:__:__: __:
City
:__:__:
State
:__:__:__:__:__:
Zip
:____: DISTANCE
FRW = Modine Fun Run/Walk 4C = 4 Mile Competitive 10C = 10 Mile
:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:
E-mail address
________________________________________________________ Signature Date Entry blank must be signed by participant. If participant is under 18 years of age, signature of legal guardian is required.
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ENTRY AND RELEASE OF ALL CLAIMS: In consideration of the acceptance of my entry in the Lighthouse Run on June 15, 2013, I release Lee Enterprises, Inc., publisher of The Journal Times, the Racine Family YMCA, other presenting or supporting sponsors and their respective employees and agents, and any other individuals who are in any way connected with this event (including volunteers assisting with the event) from any liability or claims for any injury or illness that I sustain during my participation in this event or that is in any other way related to this event. I understand that this release applies to myself and my personal representatives, heirs and assigns. I represent that I have adequately trained to participate in this event, recognize that risks of injury accompany such participation and acknowledge that this release is being relied upon by the above persons in permitting me to participate. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose.
:__:__:__:__:__:__:__:__:__:__:__:__:__: :__:__:__:__:__:__:__:__:__:__:
NAME: Last First
:___: sex
M=male F=female :___: W for wheelchair
Date of Birth
:___:___:___: mo day yr :____: AGE: (raceday)
;__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:
Address: Number and Street
:__:__:__:__:__:__:__:__:__:__:__:__:__: __:
City
:__:__:
State
:__:__:__:__:__:
Zip
:____: DISTANCE
FRW = Modine Fun Run/Walk 4C = 4 Mile Competitive 10C = 10 Mile
:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:__:
E-mail address
________________________________________________________ Signature Date Entry blank must be signed by participant. If participant is under 18 years of age, signature of legal guardian is required.