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A benefit run to help support Siol Na h’Eireann Pipes and Drums
Saturday March 30, 2019
Race time 9:00 am
Entrance Fee: $25 – Mail-in/Online Registration (online registration closes at 9 PM, Thursday March 28th)
$30 – Day of Race 7:30 – 8:45, March 30th at the AOH Hall
Registration includes free beer, soft drinks, food, raffles & live music at the
START & FINISH: AOH Hall at the corner of Magnolia & Washington Heights, Selden
Long sleeve T - Shirts guaranteed to all participants preregistered by March 15
Course: This challenging course will test your stamina right from the start with the first of 9 elevation changes. Race timed by Island Timing / LIRunning
Awards: Awards to the top three male/female overall Celtic Crush finishers and in each age category.
Age groups:14 and under;15-19; 20-24; 25-29; 30-34; 35-39; 40-44; 45-49; 50-54; 55-59; 60-64; 65-69; 70+
Award Ceremony, Music, Raffles & Party will take place at the AOH Hall, Selden.
For information & applications call 631-790-7378 or e-mail email@example.com
REGISTER ONLINE at http://CelticCrush5K.itsyourrace.com/
MAIL IN REGISTRATION
Make checks to Siol Na h’Eireann
Mail to SNH Pipes & Drums, 138 Woodlot Rd, Ridge, NY 11961
Name: _______________________________________________ Age: ______ Sex______ Shirt size: S / M / L / XL
DOB: ____/____/____ email address: ________________________________ Phone:____________________
Please complete the entry blank, read the following statement, and sign below:
In consideration of your accepting this entry, I the undersigned, intending to be legally bound, hereby waive and release and hold harmless USA Track and Field, Siol Na h’Eireann Pipes & Drums, the Town of Brookhaven, Suffolk County, all sponsors and their representatives, successors and assigns, for any and all liabilities, claims, demands and causes of action whether or not arising in whole or in part out of the negligence of any of the above organizations or individuals. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed Medical Doctor. If signed by a parent, the parent agrees to release and hold the above-named organizations and personnel harmless of any claims and rights which may be asserted on behalf of the entrant.
Further, I hereby grant permission to any and all of the foregoing to use any photographs, video, recordings or any other record of this event for any reason.
Signature (Parent if under 18): _______________________________________