Easley Lions Club
Presents the
7th ANNUAL RUN FOR SIGHT
Saturday, May 19, 2012 8:30 A.M.
5K Road Race/Walkers welcome to participate
Timed by “It’s About Time” Race Management
A Palmetto Grand Prix Event: USATF/RRTC Certified Course #SC09003BS
J. B. “Red” Owens Sports Complex in Easley, SC
Course is “More Challenging, Decent Hills and Less Traffic” A Runner Friendly Race in a Friendly Town!
For directions and course visit WEB SITE: http://www.e-clubhouse.org/sites/Easley/
We need your participation more than ever!!! All monies raised go to sight conservation programs in the Easley area.
The top three overall male and female winners will receive awards. The top three in each age category by male and female will receive awards according to the following ages: 5 year intervals starting with 14 under and every 5 years thereafter through 64 then 65 and up.
In consideration of accepting this entry, I, the undersigned, intending to be bound, hereby, for myself, executors, and administrators, waive and release any and all rights and claims for losses and damages I may have against the Easley Lions Club, City of Easley, and all other sponsors, promoters, managers, directors, officials, agents, employees, and volunteers of the Easley Lions Club Run for Sight and assigns of any and all injuries suffered by me in said event. I attest and verify that I am physically fit and have sufficiently trained for the competition of this event and my physical condition has been verified by a licensed physician. Further, I hereby grant full permission to any and all of the forgoing to use any photographs, videotapes, motion pictures, recordings and any other record of the event for any purpose whatsoever.
Online Registration: Run For Sight at www.strictlyrunning.com
Mail in registration: 509 Brighton Circle, Easley, SC 29642 E-Mail Questions to: lionsrunforsight@bellsouth.net Telephone # 864-561-2423
Please print :
Name: _________________________________________ Female [ ] Male [ ]
Address: _________________________________________
City: _______________________________State: ______Zip: _____________
Email: ___________________
Birth Date: ______/______/_______ Age as of May 19, 2012:______
Phone: ( ) _______________________ Email: ___________________
Signature: _______________________________
Parent or Guardian if under eighteen:
_________________________________________
T- shirt (cotton) size: S [ ] M [ ] L [ ] XL [ ] Entry fee: $20.00 No T shirt fee: $15.00
Company, team, or groups of 5 or more runners bundled together in one envelope: $15.00 each.
Please make checks payable to the EASLEY LIONS CLUB.
Entries must be postmarked on or before May 11, 2012. Entries after that time cannot be guaranteed cotton T-shirt.
Registration closes at 8:15 A.M.
Ghost participant donation welcomed.
