5x7-8                Alec's Run V      Alecs Run - Button Award

4 MILE RACE 1K FUN RUN-9:00

Saturday, April 25, 2009 9:30 AM

Half Hollow Hills High School West in Dix Hills

Timing and Results by Start to Finish Corp.

RAIN OR SHINE

 

Alec’s Run has become a great day to honor the life of our 16 month old son, Alec, who was backed over by an SUV. The race is a positive celebration of Alec’s life, with great benefits for the runners-every entry receives a long sleeved shirt and a pair of Adidas dri-fit running socks. From the fast, flat course to the wonderful post-race spread, which includes a pasta buffet courtesy of Spuntino’s of Dix Hills. The fantastic quantity and quality of the raffle prizes, including a 1 week condo stay at an incredible destination. Thanks to your support, we are making a difference. The race continues to support Kids and Cars, Hospice Care Network and helps give aid to needy children through Alec’s foundation. We welcome you to join us as we celebrate Alec’s life.

 

ENTRY FEE:

DIRECTIONS:

Pre-registered – Received by April 20

Adults 17+ …………………………… $18.00

16 and under…………………………..$10.00

Late registration – Through April 24

All……………………………………... $20.00

Day of Race……………………………… $25.00

From Northern State Pkwy - Exit 41 Wolf Hill Rd.

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FUN RUN ENTRY FEE: Begins at 9:00 am

Pre-registered…(10 and under).…….......$8.00 Day of Race…………………………….....$10.00

AMENITIES: Top quality LONG SLEEVE T-SHIRT to all entrants. Special medals & raffle prizes to all in Fun Run

AWARDS:

Top 3 Male & Female for 14 and under, then 5-year age groups to 85+.

AWESOME POST RACE Refreshments! Amazing Post Race raffle for dozens of great prizes, hotel stays, restaurants and many more.

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- All proceeds will be donated to Hospice Care Network, bereavement counselors and end-of-life care specialists, KidsandCars, an advocacy group striving to make cars safer for their littlest passengers, and finally the Alec William Nelson Charitable Corporation that works to make a

difference in needy children’s lives

Check in: Shirts and goody bags can be picked up at High School West on 4/24 from 4 till 8 PM or day of race from 8-9am. Chips and numbers only available day of race, per Start2Finish. Absolutely no pickups after 9 AM. Register online at Active.com

 

Entry Form for Alec’s Run V– April 25, 2009 Contact us: adriannraschdorfnelson@yahoo.com or at Alecsrun.com

Mail checks and entries to: Alec’s Run, 999 Grand Blvd, Deer Park, NY 11729 Questions? Call 631-755-0786

 

First Name: _____________________________________ Last Name: _________________________________________

Age (on race date) _______________________ Date of Birth: ___/___/___ Male____ Female___

Address: ______________________________________________________________ Phone: ( ) ___________________

Town: ________________ State: __ Zip Code: _______ Email Address_______________________________________

 

Please fill out entry blank, read the following statement and sign below: In consideration of your accepting this entry, I the undersigned, intending to be legally bound to hereby, for myself, my heirs, executors and administrators, waive and release and hold harmless the Town of Huntington, the Suffolk County Police Dept., the Half Hollow Hills School District, the Alec William Nelson Charitable Corporation and all their representatives, successors and assigns, for any and all liabilities, claims, demands and causes of action whether or not arising in whole or in part out of the negligence of any of the above organizations or individuals. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and a licensed Medical Doctor has verified my physical condition. If signed by a parent, the parent agrees to release and hold the above-named organizations and personnel harmless of any claims and rights, which may be asserted on behalf of the entrant. Further, I hereby grant permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event whatsoever.

 

Signature: ___________________________________________________Date_____________________

Parent signature if under 18 yrs of age:________________________________Date:_________