Author: jvanderhoof

Albany Christian School

Hustle 4 Health

5 Mile, 5 K &
1 Mile

Please join us for the 3rd
annual Hustle 4 Health road race to help us reach our goal in fitting ACS with updated
physical fitness equipment !

Phone: 541-928-1110
420 3rd Ave. SE, Albany, OR 97321
www.albanychristianschool.org

Please complete the below and mail with check to Albany Christian School, 420 3rd Ave. SE, Albany, OR 97321

5 Mile $30 5 k $25 1 Mile $20
(No shirt $25) (No shirt $20) (No shirt $15)

Entry Form

Name of Runners

Register
for
T-Shirt?
__Y / N___
__Y / N___
__Y / N___
__Y / N___
__Y / N___

Age
_____ _
___ ___
__ ____
___ ___
__ ____

T-Shirt Size

Gender
(circle one)
M / F
M / F
M / F
M / F
M / F
-
M / F

Distance
(circle one)
5 Mile 5K 1 Mile_
5 Mile 5K 1 Mile_
5 Mile 5K 1 Mile_
5 Mile 5K 1 Mile_
5 Mile 5K 1 Mile_

T-Shirt Size options:
YS YM YL S M L XL XXL XXL add $3.00

Please Print
Name
Address
City, State ZIP
Phone
E-mail
Signature (Parent, if under 18)

Release Form (Mandatory): In consideration of my entry, I for myself, my heirs, executors, administrators, and assigns waive, release and discharge any and all rights, claims or damages against Albany Christian School and Willamette Community Church and/or all sponsors or partners, directors, volunteers, employees or agents for such parties for all claims of damages, demands, actions whatsoever in any manner arising or resulting from my participating in said event. I attest and verify that I have full knowledge of the risks involved in the event, that I assume those risks, that I will assume and pay my own medical and emergency expenses in the event of an accident, illness or other incapacity, and that I am physically fit and sufficiently trained to participate in this event and grant the use of photographs and other records of me in the event for any legitimate purpose.
Signature __________________ _____D ate_______

Sunday, May 4th
Albany, OR

Saturday, May 3rd , 2014
3:00-5:00pm - Packet pickup
at Albany Christian School
Sunday, May 4th, 2014
12:30-1:30pm - Packet pickup and
Late Registration at ACS
Race Registration:
All runners/walkers must be registered to participate
Register anytime up until race day.
Must be registered by 4/20/2014 to receive your t-shirt by race day. Anyone registered after that date that would like a t-shirt will not receive for two weeks AFTER race day.
Race Management
Chris Reese: Organizer
Email: Reesechris85@yahoo.com
Katie Miller, Principal

Albany Christian School

Hustle
4 Health

Sunday, May 4th, 2014
5 Mile Run/Walk 2:00pm
5K Run/Walk 2:05pm
1 Mile Run/Walk 3:15pm
All events begin at Albany Christian School

Albany Christian School
The purpose of Albany Christian School is to come alongside parents and families and help them as they fulfill their calling to nurture their children – spiritually, physically, academically, and socially. Albany Christian School has been a presence in our community since 1964 and feels a strong bond with all who live and work here.
Our goal is to raise money to go towards new physical education equipment for our gym and school needs. We hope to promote healthy lifestyles for each of our children and to encourage a lifetime of healthy choices!!
The top 3 overall winners will receive medals. Ribbons for top 3 age group winners for both male and female will be awarded. Every contestant receives an ACS Hustle 4 Health T-shirt. Come join the fun!!! We look forward to seeing you there!