10th Annual Avon Road Race

Page 2


The Pine Grove School PTO Presents

The 11th Annual
Avon Road Race

5K Road Race & 1 Mile Kid’s Fun Run

All proceeds to support

 Pine Grove PTO

Sunday, May 17, 2015

Pine Grove School, Avon, CT




                      Sunday May 17,2015

*5K Race Start Time: 8:30 am, registration opens 7:30 am

*Fun Run Start Time: 10:00 am

*Fun Run bib/t-shirt pickup starts at 9:00 am

*Free t-shirts to all who pre-register

(must be postmarked by May 10, 2015)

*Entry Information

            - 5K: Non-refundable $25 entry fee ($30 on the day of the race)

                - Fun Run: Non-refundable $15 entry fee

                - Make check payable to: PGS-PTO

                - No animals, roller blades, bikes, etc. in 5K race

* For information call (860) 404-2729 or avonroadrace.com

* Send to: PGS, Avon Road Race, 151 Scoville Road, Avon, CT 06001

Sponsored by: Hoffman Auto Group;  Avon Soccer Club, The JF Mulready Co, PTSMC, Yarde Metals;  Fun Run Sponsored By:  Merrill Lynch; Simsbury Bank; Dynamic Auto Works; The Wallace Family; FM Facilities Management; Franklin Painting; Simsmore Tennis

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Date of Birth: ____________________________            Age (race day): _______________

Sex:       Male         Female             Email Address:______________________________

T-Shirt Size:              Adult:      XL     L     M      S            Kids:       L      M      S   Race: 5K___Fun Run___


I know that running or walking is a potentially hazardous activity, I will not enter unless I am medically able and properly trained. I agree to abide by any decision of any race official as to my ability to safely complete the event. I assume all risks with participating in this event, including but not limited to falls, contact with other participants, effects of the weather, traffic and the condition 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 in my behalf waive and release the Pine Grove PTO, Town of Avon, State of Connecticut, volunteers and all sponsors from all claims or liabilities of any kind arising out of my participation in this event, grant permission to all of the foregoing to use any photographs or recordings or any other record of this event for any legitimate purposes. I know that dogs, bicycles, inline skates are not allowed.


SIGNATURE: ________________________________________________________________________________________   (parent must sign if competitor is under 18)

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