Date _________________________ Signature: ____________________________________________________________________ Name _____________________________________________________________________ (Please print) E City: Address: Name: Emergency Contact:______________________________________ Phone #_____________________________ Phone Contact:______________________________________ Emergency to secure and permission Waiver and claims treatment all of Event Details, Release understandabove the Iread have and fully or in any connected with, out of, by way damages sustained associated and injuries, losses me arising I further agree to indemnify and hold harmless and defend the City and its officers, agents, servants and employees theof event. with the in associated any connected activities outarising of, or way with, to me have mayfrom which or accrue any I do hereby fully release and discharge the City and its officers, agents, servants and employees from any claims from injuri andoffi its City in the I the of participating may claims as a against have result event all I agree waive and relinquish to connected with activities of participating as with a or associated andresult in all any which sustain damages or loss I may As a participant in the program, I recognize and acknowledge that there are certain risks of physical injury and I agree to a - mail ________________________________________________ Birthday______________________ mail ________________________________________________ ___________________________________________ ___________________________________________ _____________________________ Online Registration: www.ocnj.us/race-events ____________________________________________________ MAKE CHECK PAYABLE TO: OCNJ CITY OF OCEAN CITY MAIL CHECK AND ENTRY FORM TO: Half Marathon, 5K O.C. AQUATIC & FITNESS CENTER & 10 Mile Walk/Run c/o OCNJ Half Marathon 1735 Simpson Ave. Suite 1 September 26, 2021 OCEAN CITY, N.J. 08226 No Refunds 13.1. Mile Run 10 Mile Non-Competitive Proceeds Benefit: Ocean City Recreation Scholarships & Programs Walk/Run _ _________ _________ 5K Run/Walk Packet pick up: (Parent/Guardian if under 18) if(Parent/Guardian under Fri 9/24 10am - 6pm Saturday, 9/25 10am - 6pm Age: Location: Ocean City Library State: _________ _________ 1735 Simpson Ave. _________________ _________________ OC, NJ 08226 Race Day pick up Phone: Shirt Size:________M or F(13.1/10) Shirt Size:________M Gender Sunday, 9/26 6:30am - 8:00am with the activities thewith theof event. activities OC Music Pier - Moorlyn Terrace & ___________ Boardwalk : M or : F M Zip: cer 13.1 & 10 Mile _________________ s, agents, s, servants and employees. suc RACE START: 8:30AM ssu h program. h Event: ___ ___ ___ ___ ___ Event: __ es, . me the full risk of any injuries, ___ and 8:15AM LINE UP ON 9TH ST damage damage or loss which I may all all claims resulting from STARTING LINE Half 10 5K 10 Half ************** 5K RACE START: 8:40AM 8:30AM Line up on the boardwalk 11th ANNUAL OCNJ Half Marathon, 5K & 10 Mile non-competitive walk/run WHEN: SUNDAY, SEPTEMBER 26, 2021 Race benefits Ocean City AWARDS: START TIME: 8:30 AM Recreation Scholarships 13.1 Mile Run 13.1 MILE HALF MARATHON & and Programs Top 3 Male and Female - (Half) 10 MILE WALK/RUN Overall Winners $250 (1st), $150 (2nd), Timed (non-competitive) Packet Pick up: $100 (3rd) 8:40 AM 5K run/walk Friday, 9/24 10am - 6pm Top Master Male & Female (50 & over) Saturday, 9/25 10am - 7pm REGISTRATION: Awards to the top 3 finishers in TBA HALF MARATHON each age group: $60 Pre-reg until July 31, 2021 Race Day pick up: 5K Top Overall Male & Female, $70 August 1- September 21, 2021 Sunday, 9/26 6:30am - 8:00am top 3 in each age group: $80 Sept. 22 - 23, 2021 OC Music Pier - Moorlyn Terrace & 14 & under 45 - 49 9/24 & 25 in-person sign-up only 15 - 19 50 - 54 Registration Boardwalk www.ocnj.us/race-events 20 - 24 55 - 59 10 Mile Walk/Run 25 - 29 60 - 64 $40 Pre-reg until July 31, 2021 Unique Finishers’ Medals 30 - 34 65 - 69 $50 August 1 - Sept. 21, 2021 35 - 39 70 - 74 $60 Sept. 22 - 23, 2021 for all 3 distances! 9/24 & 25 in-person sign-up only Next 4 years build an OCNJ Medallion 40 - 44 75 - 79 Registration 80 & over Race Website: 5K Run/Walk Awards ceremony, door prizes and $20 Pre-reg until July 31, 2021 www.ocnj.us/race-events refreshments following the races at the $25 August 1 - Sept. 21 2021 Music Pier. Runners only $30 Sept. 22 - 23rd Be sure to visit and support Ocean 9/24 & 25 in-person sign-up only Race Website: 9/26 Race Day City’s Local Restaurants and Eateries. For more information visit www.ocnj.us/race-events Pre-reg by 9/1 guaranteed race shirt. www.oceancityvacation.com Online registration 13. 1 & 10 mile Shirts are www.eatinocnj.com OCNJ.RecDesk.com Men’s & Ladies sizing. 5K are unisex Family of Four $5 off each registrant. For accommodations For Further Information Call Discount only to pre-registered families. Must be information, please visit (609) 525-9317 OR e-mail sent in as one packet. Same household. [email protected] www.ocnjha.com Entry Fee is non refundable. .