Non-profit Organization U.S. POSTAGE PAID DALLAS, TX PERMIT NO. 1851
Presented by:
Because kids can’t fight cancer alone.
CandleLighters
Because Kids Can’t Fight Cancer Alone.
Our Proud Sponsors
nightrun2011
candlelightersfw.org
Childhood Cancer Foundation of Greater Fort Worth P.O. Box 1127 Bedford, TX 76095
Candlelighters
1K FunRun & 5K Run/Walk
September 24, 2011 Register at www.candlelightersfw.org Downtown Fort Worth – Burnett Park Plaza
Beginning at 6pm
Candlelighters Childhood Cancer Foundation of Greater Fort Worth
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The Perfect family Night
Make checks payable to Candlelighters Night Run and mail to::
There’s something for every member of the family at the Candlelighters Night Run. All ages will enjoy an evening of music, entertainment, plenty of free food and the chance to make a difference in the lives of families fighting childhood cancer.
Schedule
* To be completed by race personnel
Amount $
I cannot participate in the event but would like to support children with cancer and their families through Candlelighters of Greater Fort Worth. My tax-deductible donation of $ is enclosed.
Candlelighters Registration Form
Saturday, September 24, 2011 Late registration and packet pick-up 6:00 – 7:45 p.m. 1K FunRun 7:45 p.m. Aerobic Warm-up 8:05 – 8:20 p.m. 5K Run/Walk 8:30 p.m. Awards Ceremony 9:30 p.m.
T he start and finish line is on Lamar and W. 10th. USATF certified course is posted on our Web site at candlelightersfw.org
Entry Fees
(per person) Postmarked by Postmarked after September 13 September 13 1K FunRun $15 $20 5K Run/Walk $20 $25 Race Day, Both 1K and 5K $30
Teams (10 or more entries submitted together, Postmarked by September 13) 1K and 5K teams $13 We now accept VISA and Mastercard.
Registration Register online at www.candlelightersfw.org –or– In person at Luke’s Locker in Montgomery Plaza 2600 W. 7th Street, Suite 107 Fort Worth, Texas 76107 (817) 877-1448 –or– Register by mail Make checks payable to Candlelighters Night Run and mail to: RunTIME Racing Services 3619 Byers Avenue Fort Worth, Texas 76107
Age
Commemorative ribbons awarded to all 1K FunRun participants. Trophies for the 5K Run will be awarded to: Top three finishers in each age division Overall top three male and female Overall masters male and female (No duplication of awards) An award will be given to the school with the most entries. Candlelighters Childhood Cancer Foundation of Greater Fort Worth is dedicated to providing the hope, support, education and encouragement that is so desperately needed to fight childhood cancer. Please join us for this year’s Candlelighters Night Run.
Because Kids Can’t Fight Cancer Alone.
This year’s 5K is an Championship Chip timed event! Pick up your chip on race day.
candlelightersfw.org Our thanks to Propel Advertising / Design for its donation of time and talent.
First name
D.O.B.
Gender
Male
Female
City
to the first 1000 registered runners!
Awards and Trophies
Race No.
Address
FREE night run t-shirts
Packet Pick-up September 22- 23, from 11 a.m. to 6 p.m. at Luke’s Locker in Montgomery Plaza.
Check No.
Last name
State
Zip
Email Please cut along dotted line and mail in.
5K COURSE!
RunTIME Racing Services 3619 Byers Avenue Fort Worth, Texas 76107
Phone
Event you plan to do:
1K FunRun
T-shirt size: Youth
Large
Medium
5K Run/Walk
X-Large
XXL (add $1)
TEAMS (at least 10 entries submitted under one team name.) Entering as member of a school team
School name
City
Entering as a member of an organization team
City
Organization
Waiver Statement (must be signed)
In consideration of the acceptance of this registration entry, I, the undersigned, assume full and complete risk and responsibility for any illness, injury or accident which occurs as a result of the undersigned’s participation in the event or while I am on the premises of the event. I hereby release and hold harmless Candlelighters Childhood Cancer Foundation of Greater Fort Worth, its affiliates and parent corporation, employees, volunteers, sponsors, RunTime Racing Services, The City of Fort Worth, and all persons and entities associated with this event from all claims or liability for injuries and damages sustained by me whether same be caused by negligence of me, of the presenters, promoters, or other persons or entities associated with this event or otherwise. Further, I hereby grant full permission to all the foregoing to use any photographs, motion picture, recordings, or any other record of this event for any purpose whatsoever. The Candlelighters Night Run, both the 1K and the 5K, will be held regardless of weather conditions. Registration is final; all entry fees are non-refundable.
Signature Parent or Guardian (if under 18)
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