Text from ad:
INMEMORY OF BARBARA EISENSTADT
Sunday, April 30, 2017
8:00 - 9:30 AM / 5K CHECK IN (No numbers issued after 9:30 AM)
12 PM - AWARDS LUNCH & POST-RACE PARTY ($10.00 FOR NON-PARTICIPANTS)
THE COMMUNITY HOUSE
101-19 ROCKAWAY BEACH BLVD. ROCKAWAY PARK, NY 11694
FOR ADDITIONAL INFORMATION - Contact Jane Donnelly - 718-318-1346
REGISTER ONLINE TODAY - WWW.ROCKAWAYROTARY.COM
REGISTRATION BY MAIL: MAKE CHECKS PAYABLE & MAIL TO:
Rockaway Ocean Run C/O Jane Donnelly Edward Jones & Co.
115-10 Beach Channel Drive, Rockaway Park, NY 11694
AWARDS: For the first three overalll finishers (male & female).
Also given to the top male & female finishers in the following age
groups: 11 & under / 12-14 / 15-19 / 20-29 / 30-39 / 40-49 / 50-59
60-69 / 70 & over. Special awards will be given to members of
police, parks, fire, sanitaion, and Rotary.
9:30 AM - CHILDREN’S 1/4 MILE.
$15.00 ENTRY FEE / $20.00 DAYS OF RACE
10:00 AM ALL RUNNERS $25.00 / $30.00 DAY OF RACE
NUMBERS & T-SHIRTS OBTAINED AT REGISTRATION
In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administra-tors,
waive and release any and all rights and claims for damages I may have against Cumberland Packing Corp, the Rockaway Rotary Club, Inc., Elite
Feats, the Department of Parks and Recreation, and their representatives, successors, and assigns for any and all injuries suffered by me in said event.
I attest and verify that I will participate in the event as a footrace entrant, that I’m physically fit and have a sufficiently trained for the competition of this
event, and my physical condition has been verified by a licensed Medical Doctor. Further, I grant full permission to any and all of the foregoing to use
any photographs, videotapes, motion pictures, recordings and any other record of this event for any purpose whatsoever.
FOLD ON DOTTED LINE, TEAR OFF AND MAIL.
First Name Last Name
Street Age Date Of Birth T-Shirt Size
City State Zip Code Telephone Kids 5K Race
Please Check One: FDNY NYPD SANITATION PARKS ROTARIANS Please Print E-Mail Address:
Signature Parent’s Signature (If under 18)