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RaceOrganizedby:

RegulusGroup,LLC

www.regulusgroup.com
turkeytrot@regulusgroup.com

Benefiting:

ASmallHand

When:

Saturday,November19th,2011
7:30AMRegistration&packetpickupbegins
8:15AMTeenyKFunRun
9:00AM10K&5K

Where:

MassanuttenMilitaryAcademy
614SouthMainStreet
Woodstock,VA22664

Course:

ThecoursestartsandfinishesattheMassanutten
MilitaryAcademytrackandrunsalongneighborhood
roadsofWoodstock,VA
http://tinyurl.com/woodstockturkeytrot

TheTeenyKFunRunis2.5lapsaroundthe
MassanuttenMilitaryAcademytrack

Ribbonsawardedtoall
TeenyKFun
Run:
participants

Makecheckspayableto:
RegulusGroup,LLCTurkeyTrot
Sendentryforms&feesto:
RegulusGroup,LLCTurkeyTrot
238NorthMainStreet
Woodstock,VA22664
Orregisteronlineat:
http://www.active.com/running/woodsto
ckva/woodstockturkeytrot2011
(processingfeesapply)

Amenities: Tshirt(guaranteedforallpreregisteredparticipants),refreshmentsandpostracegoodies.Awards
foroverallandagegroupwinnersandribbonsforTeenyKFunRunparticipants(age10andunder)
EntryFee:

The10K&5KEarlyBirdfeeis$25(duebeforeOctober21).Lateregistrationfee(afterOctober21)is
$30.Racedayregistrationfee(November19)is$35.TeenyKFunRunis$10

10K&5K Foreachrace:Topthreeoverallmaleandfemalewinners,10&under,1114,1518,1929,3039,40
Prizes:
49,5059,6069,and70+willbeawardedprizes.

WoodstockTurkeyTrot10K/5K&TeenyKFunRunRaceRegistrationForm2011

CircleEvent:

10Krun 5Krun 1KFunRunVolunteer(norunningforme,thanks!)

Name:______________________________________________________________________
Address:__________________________________________________

Sex: MF

Age(on11/20/10):____
Birthday:______________
Emailaddress:__________________________

ZipCode:___________
State:_________

City:_____________________________________________________

HomePhone:__________________________________
WorkPhone:_______________________________________

EmergencyContact:________________________
Relationship:_____________________________Phone:___________________
YouthSML
AdultSMLXLXXL
Tshirtsize(circleone):

IherebycertifythatIamadequatelyfittoruninthisrace.Inconsiderationoftheacceptanceofthisentry,I,theundersigned,formyself,mypersonalrepresentative,
beneficiaries,andheirs,knowinglywaive,release,anddischargeanyandallrightsandclaimswhichIhaveormayhavehereafteraccruetomeormyestateagainstRegulus
Group,LLC,ASmallHand,theMassanuttenMilitaryAcademy,theTownofWoodstockand/oranyothersponsors,organizersandvolunteersandassignsforanyandall
injuriesordeathsufferedbymeinthisevent.Iwillalsoallowmypictureandnametobeusedinpublicationsasaresultofthisrace.

Signature:_________________________________________________________________ Date:______________
(Aparentorlegalguardianmustsignforallparticipantsundertheageof18)

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