Point Pleasant Lions Club

                                                                                                                 Seafood 5 Mile Run

                                                                      Saturday, September 15, 2007

                                                                                      Rain or Shine 

7:00 AM- Registration & Shirt pick-up

8:00 AM - One Mile Fun Run

8:30 AM - 5 Mile Run

T-shirts to all runners while supplies last         

   Location:             Band Shell ~ Arnold and Baltimore, Point Pleasant Beach, NJ

  Awards to Overall Winners - Male & Female 

  Awards to first 3 Male & Females in their age groups

  Award to 1st Clydesdale

 Fast Flat - Certified Course - Digital Clock Finish - Mile Markers - Splits - Water Stations - New Location - DRAWING of TV - MOUNTAIN BIKE AND PRIZES                                                                               

       PLEASE MAKE CHECKS PAYABLE TO:

        POINT PLEASANT LIONS CLUB

          P.O. Box 444

        Point Pleasant, NJ 08742 (732) 892-1089

Please enter me in the Point Pleasant Lions Club Race. I hereby for myself, my heir, executors & administrators, waive & release any and

all rights & claims for damages of any nature which I might have against any organization, municipality or individual associated with this event

I also give permission for the use without fee, of my name & picture in any broadcast, telecast or print media account of this event. I

acknowledge I have read & fully understand the conditions that this entry is made and accept them. NO REFUND - SPONSOR RESERVES

THE RIGHT TO REJECT ANY ENTRY.                                                                    PLEASE PRINT APPLICATION  

        Name: ______________________________________________________________________

        Address: _____________________________________________________________________

        City: ____________________________________ State: ___________Zip: _________________

        Phone: __________________________ Male _____ Female_____Age____

        Email:________________________________________________________________________

                                    Shirt Size  - S            M            L            XL            (Circle size)

                                         

    Signature ____________________________________________________Date _______________

                                    (If runner is under 18 parent/guardian must sign)