RACE LOCATION: 500 Anniston Street AWARDS (18-under 5K): Trophies to the top 3 males and top 3 females overall AWARDS (19-over 4 mile):
Awards will be presented to the top 3 males and top 3 females overall and REGISTRATION INFORMATION:
NAME:__________________________________________________________________________
ADDRESS:______________________________________________________________________
CITY, STATE, ZIP:________________________________________________________________
PHONE:________________________________ T-SHIRT SIZE (circle one): S M
L XL
DATE OF BIRTH:____________________ AGE (if 19-over):______ SEX (circle one): M F
DIVISION (if 18-under): Primary Bantam Midget Youth Intermediate Young
E-MAIL:_________________________________________________________________________
WAIVER: In consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the City of Weaver, the Alabama Striders, all sponsors, volunteers and supporters of these races, with their representatives and successors from all claims or liabilities arising out of my participation in these events. I grant permission to everyone to use
any photographs or records of this event for media use or any other legitimate purpose, without compensation to me.
Fee for 18-under 5K is $8 (money orders only) in advance or $10 (cash only) race day.
From Jacksonville, take Highway 21 South. Look for Jacksonville Medical Center on the right.
Go to the first traffic signal past the medical center, then turn right and go .1 mile to the end of the road.
Turn left, go 1 block, then turn right and go 1.5 miles to the first traffic signal. Turn left at the signal.
Go .1 mile and you will see First Baptist Church on the left and City Hall and Elwell Park on the right.
From Anniston take Highway 21 North. Look for Wal-Mart on the left.
About a quarter mile past Wal-Mart, turn left onto Weaver Road just past Dollar General.
Go 1.8 mile and you will see First Baptist Church on the right and City Hall and Elwell Park on the left.
and the top 3 males and top 3 females in each division as outlined below:
Primary (born 1997 & after); Bantam (born 1995-1996); Midget (born 1993-1994);
Youth (born 1991-1992); Intermediate (born 1989-1990); Young (born 6/19/1986-12/31/1988)
Top 3 overall winners are not eligible in age groups.
the top 3 males and top 3 females in each age group (top 3 overall winners not eligible in age groups):
19-24, 25-29, 30-34, 35-39, 40-44,
45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, 90-over.
Entry fee is $10 in advance or $12 on race day starting at 6:00AM.
For more info, contact Frank Bowie 256-282-6647 or Dewitt Thomas 205-250-5726 or 205-837-5640
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S.E. AGE GROUP CHAMPIONSHIPS 5K (18-UNDER) AND 4 MILE RUN (19-OVER) - 6/18/2005
________________________________________________________________________________
SIGNATURE (Parent or Guardian if under 18 years old)
DATE
Fee for 19-over 4 mile is $10 (money orders only) in advance or $12 (cash only) race day.
Make money orders payable to Alabama Striders and mail with entry form to:
Alabama Striders; PO Box 320499; Birmingham AL 35232
208