SCHOOL TEAMS JOIN THE FUN

10K, 5K RUN AND 2K WALK

Be there for the 11th annual 10K/5K Run and 2K Walk for all ages. Don your St. Patty's Day attire as there will be awards for the most innovative outfit, greenest garb and best leprechaun! Chip timing system will be provided by Elite Feet. Register early to be guaranteed a T-shirt. DATE: Saturday, March 16, 2013 TIME: Race begins at 9:00 AM - Participants should be at the start line by 8:50 AM LOCATION: Race begins and ends outside the 3rd Street entrance of the YMCA FEES: School Group - $15 per person Students and Coaches Only

YMCA OF THE BLUE WATER AREA 1525 3rd Street, Port Huron MI 48060 (810) 987-6400 Fax: (810) 987-7251 www.bluewaterymca.com

Bib Number Race 10K Run 5K Run 2K Walk

2013 LEPRECHAUN LOOP

SCHOOL TEAM ENTRY FORM

Please Select Shirt Size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large

School Group - $15 per person Students and Coaches Only Registrations ATTN: Community Engagement

Early registrants (registered before February 28) can pick up their shirts and bibs March 15. Otherwise, shirts will be available for pick-up the day of the race. Please remember to allow time for chip pick-up the morning of the race. Written directions and route map will be available at the Y and at www.bluewaterymca.com.
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MALE

FEMALE

Name _______________________________________________________________________________ Address _______________________________________________________________________________ City Zip _______________________________________________________________________________ Phone D.O.B. Age _______________________________________________________________________________ Email Address School (if applicable) _______________________________________________________________________________ Emergency Contact Phone
PARTICIPATION WAIVER I hereby state that I have conditioned myself to participate in the YMCAs Leprechaun Loop Run/Walk. I for myself, my heirs, and the administration waive and release all rights and claims for damages I may have against the YMCA of the Blue Water Area, its officials, the sponsors, and the City of Port Huron for any and all injuries suffered by me during the YMCAs Run/ Walk. Including any and all injuries, which may arise out of travel to, participating in, and returning from the YMCAs Run/ Walk. I give permission for my picture to be taken and used in YMCA promotional materials.

_______________________________________________________________________ Signature Date _______________________________________________________________________ Parent/Guardian Signature if participant is under 18