ComforTree 3rd Annual 5K run/walk

ComforTree’s 3rd Annual 5K Run/Walk

An Answer to Cancer 

To benefit all cancer patients in New Jersey

Free non toxic house cleaning while they are going through treatment

Saturday October 20, 2012

A USATF-Sanctioned 5k Race and Fun Walk

Duke Island Park, Bridgewater, New Jersey

Certified course NJ09035LMB

Race followed by Award Ceremony & refreshments

Schedule:          7:30am Registration opens                    9:00am Race/Walk begins

                            8:45am Briefing                                       10:30 awards announced                    

Check in and Start/Finish: Visitor Center parking lot

Awards: 1st, 2nd, 3rd places male/female overall & Top male/female 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Results:                       www.compuscore.com            More information: (908)-256-1192 / (908)-218-1172

Online Registration: www.compuscore.com            Entry Fee: $25.00 (non-refundable), After 10/16: $30.00 (non-refundable)

Download 5K Registration Form:  www.compuscore.com / www.comfortree.org

--Pre-Registered participants will receive a ComforTree t-shirt--

 Packet Pick-up will be the day of the run

Thank you NJ 101.5 Radio and our Sponsors

Music and Announcements by:  Dave Fiedler, DJ

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Official Entry Form

Make check payable to ComforTree and mail to the ComforTree headquarters: 952 Evergreen Dr, Branchburg, NJ, 08876

Last Name____________________________________________ First Name ____________________________________

Street Address: ______________________________________________________________________________________

City: ______________________________________ State: ______________________Zip: __________________________

Phone: __________________________________________ E-mail: _____________________________________________

DOB: ________________________________ Age (on Oct. 20) ______________________ Sex:       M        /          F

Runner / Walker (circle one)    T-Shirt Size:    S / M / L / XL (Adult Sizes)

Waiver Release: In consideration of this entry being accepted, I hereby waive and release any claims against ComforTree of New Jersey, its staff, officers, directors, volunteers, sponsors, successors, or assigns for injuries that I may suffer in this event. And I grant to use my likeness in any photographic of the Answer to Cancer 5K. I further attest that I am medically and physically able to participate in said event.

Signature: _______________________________ Parent Signature (if under 18) _______________________