14th Annual

 HEALING HANDS 5K RUN/WALK

to benefit The Genesee County Free Medical Clinic

Organized by

Genesee County Medical Society Alliance & Pi Delta Chapter of Sigma Theta Tau International

Starting Time:       5K Run starts at 9:00AM and 5K Walk starts at 9:01AM

Location:               Mott Community College, Ballenger Field House 1401 E. Court Street, Flint, MI. Parking available at college

Course:                  Both events will start and finish at Mott Community College .  

Facilities:               Restrooms only at race site.

Registration:         Early registration ends May 11, 2009.  Entries must be postmarked by this date to be eligible for early entry fee and a

guaranteed T-shirt.  Packet pick-up & late registration will be held from 8:00-8:45 AM the morning of the run/walk in the Ballenger Field House. 

Entry Fee:              $17.00 before May 11, 2009: includes T-shirt                         $20.00 late registration, includes T-shirt

                                $12.00 before May 11, 2009: without T-shirt                           $15.00 late registration, without T-shirt

Refreshments:      Post-race refreshments for your enjoyment while awaiting race results & awards presentation.

Features:                Pre-race music beginning at 8:00AM provided by Rod Prahin, DJ from WCRZ - 108FM.

                                Massages available in the Ballenger Field House   

                                Theme Basket Raffle – must be present to win

Award Ceremony: MCs: Angie Hendershot, Anchor Evening News: WJRT-TV 12 & Rod Prahin, Morning DJ: WCRZ 108FM

Awards:                  Post-race awards for the Overall and Masters male and female and Top Three finishers in each age

group in each race.  .

Age Divisions:       Awards to Overall and Masters male and female and top THREE finishers in each age group in each race: 14

                              & under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80 & over.

Results:                 Race will be scored with the ChronoTrack system using the disposable D-Tag provided on race day.  For more information on scoring system visit: www.ChronoTrack.com

Scores posted race day & online at: www.gaultracemanagement.com

Information:          HOTLINE: 810-230-6492                       Website: Register online at www.gaultracemanagement.com or www.active.com

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Healing Hands 5K Run/Walk to benefit the Genesee County Free Medical Clinic Entry Form

(May be photocopied)

9:00AM Saturday: May 16, 2009

 

 Last Name____________________________________________ First Name __________________________________________

Address___________________________________________________________________________________________________

City _______________________________________________________________________  State___________  Zip ____________

Phone ______-_______-_________  Birth Date ____-____-____  Sex:  M   F   Age on race day_____  Run ________ Walk________

ChronoTrack disposable D-Tags for scoring will be provided by Gault Race Management on race day.

Circle choice of T-shirt size:   M      L       XL       XXL (add $1.00)                                        REGISTRATION FEE ________________

MAKE CHECK PAYABLE TO: Genesee County Free Medical Clinic                                                     DONATION ________________              

MAIL TO:  Healing Hands 5K Run/Walk, P.O. Box 13445 , Flint , 48501                    TOTAL AMOUNT ENCLOSED ________________

DISCLAIMER MUST BE SIGNED: In consideration of the acceptance of my application for the Healing Hands 5K Run/Walk, I hereby release all participating groups, sponsors, and all persons connected with this event from all liability for any damages whatsoever arising from my

participation in this event.  

ATHLETE (OR PARENT, IF UNDER 18) MUST SIGN_____________________________________________________________________