WHO: Runners of All Ages

BOYERTOWN, PA Saturday, October 11, 2014 9:00AM 5K / 9:15 Fun Walk

WHO: Runners of all ages join us for our 4th annual 5K registered by September 25 or while supplies last Fall Frolic. Walkers have a specified course that is thereafter. Size requests will be honored to the best stroller accessible and perfect for a healthy family outing. of our ability but size may be substituted. Dogs on a leash are welcomed.

WHAT: The 5K Fall Frolic, Family Fun Walk will help RESULTS: Finish line and timing service by support local and international projects of the Rotary Pretzel City Sports. Race results posted on Club of Boyertown. www.pretzelcitytiming.com Course record is Male – 16:55 Female - 21:07 WHERE: This is a road course; start and finish will take place at the Boyertown Community Park, S. Madison St, AWARDS: Trophies to Overall Male and Female Boyertown, PA. Registration is at the Rohrbach pavilion Champions. Awards also presented to top two (2) near the playground. Male and Female finishers in each of the following age groups: 14 and under, 15-19, 20-29, 30-39, 40- WHEN: Saturday, October 11th, 2014 49, 50-59, 60+ years. Walkers that place 1st, 2nd and 8:00 a.m. – Registration begins 3rd will also receive awards. 9:00 a.m. – 5K Run begins 9:15 a.m. – Family Fun Walk begins REMEMBER: Pin your number to your shirt 10:00 a.m. – Award presentation and raffle FRONT leaving the bottom portion unpinned so it drawings can be removed as you cross the finish line. This is very important! HOW: To register, complete the form below and submit a $25 (individual) or $50 (family) check or money order to Boyertown Rotary Foundation by For questions about the event please contact: September 25. Fee for entries received after Dawn Hydock at 610-323-7598 or September 25 and on Race Day, is $30 (individual) email: [email protected] or $60 (family). A themed t-shirt is guaranteed if

INDIVIDUALS Complete this portion. Detach and mail. Include $25 early registration fee by September 25. Late registration fee $30 after September 25. Check/money order made payable to Boyertown Rotary Foundation. Please circle one – Walker / Runner Name Address Please print City ______State _____ Zip______Phone ______

E-mail address Age (on Race Day) _____ Male___ Female___

FAMILY REGISTRATION Complete this portion. Family discount is limited to 4 participants of the same household. (Includes: 2 adults plus up to 2 children under 12 years old) Cost per family is $50 by September 25 or $60 after September 25. Last Name (please print) First Name Gender Age 5k or walk Shirt Size

WAIVER/RELEASE: I hereby waive all claims against the race director, race officials and volunteers, any and all sponsors including, but not limited to Boyertown Rotary Club, the Borough of Boyertown and those in their employ, the Counties of Berks & Montgomery, and all their representatives and successors from any injury or liability I might suffer in this event. I attest that I am physically fit and prepared for this event. 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; and the condition of the road; all such risks being known and appreciated by me. I grant full permission for organizers to use my name and or pictures in legitimate accounts and promotions of this event.

Signature X______Date ______(Parent or guardian’s signature if less than 18 years of age.) Please make checks or money orders payable to Boyertown Rotary Foundation and mail to: Boyertown Rotary 5K, PO Box 176, Boyertown, PA 19512