2011 WALK & RUN
Awards
No duplicates awarded.
1st – 3rd Places Overall
Age Groups – Male and Female
1st, 2nd & 3rd Places
19 & Under, 20 – 29, 30 –39, 40 –49,
50 –59, 60 –69, 70+, Clydesdale and Athena
Parent/Child Team – Award in 1st,2nd & 3rd place.(Team entry only eligible for Team award.)
Start and Finish :
On the Midland Beach Promenade by the Turtle Circle ( at Jefferson Avenue)
Breakfast to follow Race.
Entry Fee: Tax deductible to extent of the law
Participant Team
$20 $25
T-shirt not guaranteed with Race Day registration.
Make checks payable to:
Alzheimer’s Foundation of Staten Island, Inc.
OR Pay by PAYPAL
Registration & Pick-up- Wednesday, May 5 at Alzheimer’s Foundation,
789 Post Avenue, from 7:00 p.m. – 8:00 p.m.
Race Day – 8:30 a.m. – 9:25 a.m.
Please complete this form and return with payment to the Alzheimer’s Foundation of Staten Island
By Fax - 718-667-8431 or SUBMIT FORM BELOW
P A Y P A L
FILL IN FORM AND PAY USING PAYPAL
THEN PRESS THIS BUTTON TO:
In consideration of my entry in the Alzheimer’s Run, I , the undersigned, intending to be legally bound for myself, my heirs, executors and administrators, waive and release any and all rights against against the organizers, sponsors and officials for any injuries suffered by me in the said event. My physical condition has been verified by a licensed physician.
