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5K/10K Run to the Wall
ENTRY FORM
You may mail this form
and entry fee to:
Phone: 330-773-2385
Web address: www.ovmp.org
FAX: 330-773-2820
(checks payable to OVMP)
Race Director
140 West Wilbeth Road
Akron, OH 44301
Phone
Name
Address
T-shirt Size: S M L XL XXL
Date of birth (required) Gender
Release: In consideration of the acceptance of this entry to the
OVMP 5K/10K Run/Walk to the Wall, I do hereby, for myself or
my children, my heirs, executors and administrators, waive and release and discharge the OVMP 5K/10K Race, and any hosts or
sponsors, or their respective agents, representatives and employees, from all claim, demands and right of causes of action,
present and future, whether known or anticipated, resulting from
or arising out of, either directly or indirectly, my participation or
my child’s participation in the OVMP 5K/10K Run/Walk to theWall. I attest that I am physically fit and sufficiently trained for
completion of this race. I hereby grant full permission to any or
all the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of the event for any
legitimate purpose. I have been informed that entrants under 18
years of age require parental approval and signature on this formin order to participate in this event. I have read and understand
the foregoing assumption of risk and affix my signature and the
date hereto.
5K/10K: Top three overall
military male & female,
top three overall (non-
military) male & female
and top three male &
female in the following
age groups: 14 & under,
15-19, 20-24, 25-29, 30-34,
35-39, 40-44, 45-49, 50-54,
55-59, 60-64, 65-69, and 70
& over.
5K walk: Top three overall
male & female. In order
to qualify you MUST walkover the finish line.
AWARDS
Race starts promptly at 7:30 am
Registration: 6 — 7:15 am
Date: Saturday, August 4, 2012
Proceeds benefit the Ohio
Veterans’ Memorial Park
Entry fees: (postmarked)
By March 31, 2012 — $18 for 5K Run/Walk,
$20 for 10K
By July 25, 2012 — $20 for 5K/Run/Walk,
$25 for 10K
July 26, 2012 thru race day — $25 for 5K Run/
Walk, $30 for 10K
Honor our HEROES by
personalizing your race shirt.
Details on next page.
The race will be at the OVMP
8005 Cleveland Massillon Rd.
Clinton, OH 44216
The race will begin at the memorial park. Runners will exit
the drive, run N to S Van Buren and loop back. 10K runners
will run to Center Rd, then to S Van Buren and loop back.
For online registration, go to:
www.rsracingsystems.com
Pre-registration is
encouraged
NO REFUNDS
Date Signature
Date Signature of guardian if under 18 years
E-mail address
I would like to make a tax-deductable donation
in the amount of:___ $ ________________________
(please consult your tax advisor — OVMP is an IRS 501(c)(3)
non-profit organization, ID # 20-3904984)
This entry is for: 5K Run 5K Walk 10K Run
The entrant is on active duty or a veteran of: Army Navy Air Force Marines
Coast Guard National Guard N/A
PLEASE PRINT CLEARLY!
ONE participant per form!
Please include ALL information
requested. In order to receive a
t-shirt, entries must be re-
ceived by EOB July 27, 2012.
5K USATF Certified OH11008MW / 10K pending
Honor our HeroesDo you want to help provide a priceless memorial for the families of the Ohioans that lost a loved one in Bei-rut Desert Storm, Operation Iraqi Freedom, Operation New Dawn or Operation Enduring Freedom ? Select a HERO from www.ovmpconcert.com and enclose an extra $10 with you race fee to have the back your t-shirt
personalized with their name. Proceeds raised will allow us to have the names engraved on the Wall located at the Park. You may also purchase an additional t-shirt for $20 with the same name or the name of another
HERO.
I have enclosed a $10 donaon to have the following name printed on the back of my race t-shirt. Personalized t-
shirts are only guaranteed if registered by July 13, 2012.
Name of Hero as you want it to appear on your shirt:
I would like to order an addional t -shirt(s) and have enclosed $20 for each addional t -shirt. Addional personalized t -shirts
must be received by July 13, 2012 and can be picked up aer the race on Saturday, August 4, 2012.
Name of person ordering tshirt (if dierent that registered runner):
Phone number: Email:
Name of Hero as you want it to appear on your shirt:
T-shirt size: S M L XL XXL
Name of Hero as you want it to appear on your shirt:
T-shirt size: S M L XL XXL
Name of Hero as you want it to appear on your shirt:
T-shirt size: S M L XL XXL
**Mail both registraon and order form to: Race Director, 140 W Wilbeth Rd, Akron, OH 44301**