RUN FOR THE ROLLS Inc.
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Run thru the Fair 5K / Run for the Rolls 1 Miler, 2011
Registration Form
Saturday August 27, @ 9:00am &12:45pm
Registration Form
Saturday August 27, @ 9:00am &12:45pm
Register/Award Presentations: 20700 Old US 12, Chelsea, Mich.
Run/Walk- Run for the Rolls 1miler: Chelsea Fire Dept. 200 W. Middle St. Walking Strollers behind /Walkers.
Run- 1-9, 10-14, 15-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65- 69, 70+
Walk-1-10, 11-20, 21-30, 31-40, 41-50, 51-60, 61-70, 71-80, 81-90+
Entry Fee:$12. after Aug.21st $17
$25 Family after Aug.21st $35 (per household)
$10 no shirt after Aug.21st $15
Awards: Male/Female Overall Awards follow race. Awards 3 deep, Male/Female, R/W
Transporation: Busses leave registration area to startline. Last bus @ 12:15 SHARP!
Bulldog Team Challenge must be registered by Friday August 26, 2011.
:Sponsored by Moore Pediatrics & Associates
Run/Walk- Run thru the Fair 5K: Chelsea Fair Grounds 20501 Old US 12 (across from registration)
R/W- 14& under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+
Entry Fee: $25. after Aug. 21st $30 RAN THE FAIR
Student 18&Under: $20. after Aug. 21st $25. FOR THE ROLLS
OVERALL MALE/FEMALE
Both Events: $30 after Aug. 21 $35. DUAL RACE AWARD!
Student 18&Under: $25. after Aug. 21 $30
www.chelseafair.org email@ info@chelseafair.org
$1.00 off Admission to Chelsea Fair for all registered participants of the races/ with d-tag. Saturday August 27, 2011. 10&under are FREE.
Breakfast available at Fair Grounds not part of race events.
FREE REGISTRATION CHALLENGE: Bring your dated bib number from a race you competed earlier on Saturday August 27th. Receive FREE REGISTRATION to RUN FOR THE ROLLS (1mi). (Race shirts while they last). (Excluding Run thru the Fair 5K)
Send Registration to: Run for the Rolls, 6045 Queen Oaks Dr. Chelsea, Mi. 48118
REGISTER ONLINE: www.active.com NO REFUNDS
Early Registration/ Packet Pick up-Friday August 26, 2011. 3:30pm-7pm @ Aberdeen Bike & Outdoors 1101 S. Main St. Chelsea, Mi. 48118
Packet Pickup/ Race day Registration: Saturday Aug. 27, 7:30am-12:15pm. 20700 Old US 12
NO PETS, BIKES, SKATEBOARD, BLADES, I PODS ALLOWED.
Bag drop off: area by registration table (not responsible for lost or stolen items) Finishline towels.
Costumes encouraged for events
Please Circle Event Sex Shirt size Event
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age ____ R/W M/F YXS YS YM YL S M L XL 5K/1M
Address________________________________City____________State____Zip____
Phone_____________email_____________________________________________
Wavier: I certify that I am physically fit to participate in this event. I recognize that the sponsors, their agents and promoters cannot and do not assure my safety during the involvement in this event. I assume all risk of accident and injury before, during and after the event in consideration for my entry into this event. I waive all rights and claims I or my estate my have or acquire from my participation in this event. I further pledge to hold harmless and indemnify the sponsors, thier agents, Chelsea Community Fair, City of Chelsea, Chelsea Retirement Communities, Chelsea Fire Dept, Chelsea Police Dept., Run for the Rolls Inc. Common Grill, from liability or damages as a result of my participation in the Run for the Rolls race. Pictures taken during Run for the Rolls event may appear on the Run for the Rolls website.
________________________________________Date______________________
Signature of Participant: (Under 18 years of age requires guardian signature)
Make checks payable to: Run for the Rolls
Run/Walk- Run for the Rolls 1miler: Chelsea Fire Dept. 200 W. Middle St. Walking Strollers behind /Walkers.
Run- 1-9, 10-14, 15-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65- 69, 70+
Walk-1-10, 11-20, 21-30, 31-40, 41-50, 51-60, 61-70, 71-80, 81-90+
Entry Fee:$12. after Aug.21st $17
$25 Family after Aug.21st $35 (per household)
$10 no shirt after Aug.21st $15
Awards: Male/Female Overall Awards follow race. Awards 3 deep, Male/Female, R/W
Transporation: Busses leave registration area to startline. Last bus @ 12:15 SHARP!
Bulldog Team Challenge must be registered by Friday August 26, 2011.
:Sponsored by Moore Pediatrics & Associates
Run/Walk- Run thru the Fair 5K: Chelsea Fair Grounds 20501 Old US 12 (across from registration)
R/W- 14& under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+
Entry Fee: $25. after Aug. 21st $30 RAN THE FAIR
Student 18&Under: $20. after Aug. 21st $25. FOR THE ROLLS
OVERALL MALE/FEMALE
Both Events: $30 after Aug. 21 $35. DUAL RACE AWARD!
Student 18&Under: $25. after Aug. 21 $30
www.chelseafair.org email@ info@chelseafair.org
$1.00 off Admission to Chelsea Fair for all registered participants of the races/ with d-tag. Saturday August 27, 2011. 10&under are FREE.
Breakfast available at Fair Grounds not part of race events.
FREE REGISTRATION CHALLENGE: Bring your dated bib number from a race you competed earlier on Saturday August 27th. Receive FREE REGISTRATION to RUN FOR THE ROLLS (1mi). (Race shirts while they last). (Excluding Run thru the Fair 5K)
Send Registration to: Run for the Rolls, 6045 Queen Oaks Dr. Chelsea, Mi. 48118
REGISTER ONLINE: www.active.com NO REFUNDS
Early Registration/ Packet Pick up-Friday August 26, 2011. 3:30pm-7pm @ Aberdeen Bike & Outdoors 1101 S. Main St. Chelsea, Mi. 48118
Packet Pickup/ Race day Registration: Saturday Aug. 27, 7:30am-12:15pm. 20700 Old US 12
NO PETS, BIKES, SKATEBOARD, BLADES, I PODS ALLOWED.
Bag drop off: area by registration table (not responsible for lost or stolen items) Finishline towels.
Costumes encouraged for events
Please Circle Event Sex Shirt size Event
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age_____ R/W M/F YXS YS YM YL S M L XL 5K/ 1M
Name________________________Age ____ R/W M/F YXS YS YM YL S M L XL 5K/1M
Address________________________________City____________State____Zip____
Phone_____________email_____________________________________________
Wavier: I certify that I am physically fit to participate in this event. I recognize that the sponsors, their agents and promoters cannot and do not assure my safety during the involvement in this event. I assume all risk of accident and injury before, during and after the event in consideration for my entry into this event. I waive all rights and claims I or my estate my have or acquire from my participation in this event. I further pledge to hold harmless and indemnify the sponsors, thier agents, Chelsea Community Fair, City of Chelsea, Chelsea Retirement Communities, Chelsea Fire Dept, Chelsea Police Dept., Run for the Rolls Inc. Common Grill, from liability or damages as a result of my participation in the Run for the Rolls race. Pictures taken during Run for the Rolls event may appear on the Run for the Rolls website.
________________________________________Date______________________
Signature of Participant: (Under 18 years of age requires guardian signature)
Make checks payable to: Run for the Rolls
