1st Annual

Chunky's 5K

 
October 14, 2012
Nashua, NH
Time: 9:00 AM
Place: Chunky's Cinema, 150 Colliseum Drive, Nashua NH
Distance: 5K Run
T-Shirts: Long sleeve t-shirts to all entries
Movie Pass: Free movie pass for Chunky's Cinema to all entrants
Entry Fee: Pre-registration $25 (post $30). Children 12 and under $15
Course Description:

Flat fast course that loops through Mines Falls Park

Age Groups: Top 3 male and females, top 3 (male/female) 0-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and over.
Amenities: Refreshments following the race
Race Day Registration: 7:00 am - 8:45 am at Chunky's Cinema in Nashua
Register Online:
Parking: Plenty of on-site parking
Timing: Professional timing by Yankee Timing
Contact: E-mail jsoucy@chunkys.com

Mail-in Registration Form

Chunky's 5K

October 14, 2012

Make checks payable to:
Chunky's 5K

Pre-entry: $25 Children 12 & under $15

 Mail entry form to:
Chunky's 5K
150 Colliseum Ave
Nashua NH 03063
FILL OUT THIS FORM, PRINT IT, SIGN IT, MAIL IT 
Name:
 
Address:
 
City, State, Zip:
 
Daytime phone:
 
Date of birth:
 
Email:
 
Age on race date:
 
Circle your gender:
 
    MALE         FEMALE
 
Circle t-shirt size:
 
    S       M       L       XL

Waiver must be read and signed before mailing:

I know that running is a potentially hazardous activity. I should not enter or run this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the event, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. All fees are nonrefundable. 


_______________________________  _____________ _____________________________________
Signature                        Date          Parent's Signature if under 18