3rd Annual - Saint Clare - Easter Eggstraordinaire 5K Run
9:00 a.m. Rohr Field
(586 W. State St., O’Fallon IL)
Saturday - April 7, 2012
& ½ mile fun run for kids
& Easter Egg hunt!
Entry Fees: Early fees dues by 4/6/12 - Individual $20, Race Day $25 - 18 and Under $18 , Race Day $22 - Family of 4 $65, Race Day $80 - Each additional child $10, Race Day $12 - ½ mile race: $8/child, Race Day $10/child
Make checks out to - SCAA
Adults receive a Dri-fit t-shirt
Kids receive cotton t-shirt
Trophies for 1st, 2nd, & 3rd places finishers in the 5k Run.
Trophies for top finishers in Kids Fun Run!
Eggciting Medals for all kids finishers in the Kids Fun Run!!
(Separated by gender)
12 and Under; 13-14; 15-19; 20-29; 30-39; 40-49; 50-59; 60 +
Medals to top three in each Category!
Drop off at or mail registration forms to St. Clare School
(214 W 3rd St, O’Fallon 62269)
or drop off at the Running Start store (3220 Green Mount Crossing Dr)
Early Packet Pick-up (& sign up if needed): Wednesday Apr. 4, 3:30-6:00p.m. at Running Start Store.
Race Day sign up &/or packet pick-up: Apr. 7, 7:30-8:45 a.m.
at Rohr Field.
Any Questions contact Tom Fischer at (618)960-9992 or email at email@example.com
Age on Race Day: __________ Male:______ Female:_______
Phone No.: ( )_______________ E-Mail:________________________________
T-Shirt Size: (Adult) ___ Sm ___ Med ___ Lg ___XLg (Child) ___S___M___L___AS
Waiver of Liability: In consideration of accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my
heirs, executors and administrators, waive and release any and all claims for damages, actions and causes against St. Clare School
all sponsors, and any individual or group associated with this event from all claims and liabilities resulting in my participation. I attest
and verify that I am physically fit and have sufficiently trained for this event. I assume all risks in this event including, but not limited to
falls, contact with other participants, effects of the weather, road conditions, all such risks being known and appreciated by me.
Further, I hereby grant permission for the free use of my name and/or any photographs, videotapes, motion pictures, recordings, or
any other record of this event for any legitimate purpose. (Participants under 18 must have parental signature.)