PAE SHF Trick or Treat 5K
Saturday, October 26, 2013, 5:00 PM
Trailhead of GW Parkway Trail at Key Bridge

Gateway Park in Rosslyn * 1301 Lee Highway, Arlington VA 22209

Run along the Potomac River

www.safetyandhealthfoundation.org/TrickOrTreat
http://www.planaheadevents-washingtondc.com/index.cfm?fuseaction=events.details&content_id=8

contactus@planaheadevents-washingtondc.com

Full information: 301-272-7333
Enter on-line
$30 by October 3, $35 by October 25, $40 on October 26 on-site 3:45-4:45 PM
or use the form at the bottom to enter by mail
After the race, complete results and overall and age-group awards
will appear here
Join us on the beautiful Mount Vernon Trail for some treats and tricks on October 26. Enjoy music, food, and treats to chow down on at the start and finish line. We highly encourage costumes! We award prizes to the crowd-favorite costume as well as other categories.

On-site registration opens at 3:45 PM. Anyone of any age can register. With your registration fee, you get a T-shirt, finisher's medal, music before, during, and after the race, and post-race goodies and beverages to recharge your batteries.
Please pre-registeer by October 20 to be sure of a T-shirt in your size.

Awards: Restaurant and store gift certificates to the top 3 males and females overall and the top three male and female finishers in these age groups: • 19 & under • 20-29 • 30-39 • 40-49 • 50-59 • 60-69 • 70 & over



Trick or Treat 5K • REGISTRATION FORM
Make checks payable to PAE

455 Massachusetts Ave NW
Washington, DC 20001




Name ___________________________________________________________ Gender (M F) [__] Age as of 10/26/2013 [___]


Address _________________________________________________________ Birthdate __ __ - __ __ - __ __ __ __ (mm-dd-yyyy)


City ST ZIP ______________________________________________________ Phone __ __ __ - __ __ __ - __ __ __ __


E-mail ___________________________________________________________ T-shirt size [__] S M L XL


Enclosed is my entry fee:


Enclosed is my entry fee:  [_] $30 by October 3        [_] $35 by October 25        [_] $40 on race day October 26 on-site 3:45 PM to 4:45 PM


Enclosed is an additional tax-deductible donation of $__________ to 
SPECIAL OLYMPICS DC


[_] Enclosed is my check        [_] Please charge my credit card ___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___     Exp.Date ___ ___-___ ___    CVV ___ ___ ___     Note: Active.com adds $3.25 to credit card transactions.

 


By entering this event, I agree, warrant and covenant as follows: I know that running is a potentially hazardous activity. I should not enter or run in club activities 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 Safety and Health Foundation, Arlington County Virginia, National Park Service, PlanAhead Events - Washington DC, Special Oylmpics DC, Road Runners Club of America, USATF, and all sponsors, their directors, officers, employees, agents, 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. I acknowledge that the application fee shall be non-refundable. I agree that the sponsors of this event may use my name and likeness for publicity purposes.

Signature _________________________________________________________ (parent or guardian if under 18) Date _______________