BLACK SQUIRREL

Black Squirrel 5K Racec/o Greg BaileyKent State University1550 Ted Boyd DriveKent, OH 44242

1550 Ted Boyd Drive, Kent, OH 44242

Kent State University, Kent State and KSU are registered trademarks and may not be used

without permission.

register todayTo register, fill out the registration form in this brochure and mail to Recreational Services. Online registration is also available at: www.kent.edu/recservices/blacksquirrelMail this form along with your check(made payable to Kent State University) to:

about the raceJoin us for our seventh annual spring race on Saturday, April 8, 2017. The race, named after Kent State University’s unofficial mascot, will be held at 8 a.m.

The race begins and ends in front of the Student Recreation and Wellness Center (SRWC). The state-of-the-art facility offers free parking, indoor registration, rest rooms and locker room facilities. The race is a loop course through the Kent State University campus and is tracked with a chip timing system.

Due to insurance limitations, headphones, baby joggers, inline skates, animals, etc. are not permitted. The Department of Recreational Services reserves the right to refuse any entry.

5K RACE

APRIL 8, 2017

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START AND FINISH AT SRWC

fees- Before Jan. 31 $20

- Feb. 1 - April 4 $25

- Race Day $30

cancellation policyEntry fees are nonrefundable and nontransferable to another person, event or year. The race will be held rain or shine.

prizesCash prizes for overall male and female winners

are awarded to the following: - First Place $100 - Second Place $75 - Third Place $50

First, second and third place male and female winners in the following age groups will receive medals:

schedule- Check-in Friday 5 - 8 p.m. Saturday 7 - 7:30 a.m.

- Race Begins 8 a.m.- Awards Ceremony Following

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registration form

www.kent.edu/recservices/blacksquirrel 330-672-4REC

Name _______

Address ____________________________

____________________________________

City

State Zip Code________

Phone ________________

E-mail ______________________________________

Twitter _____________________________________

Birthday Age (On Race Day)

5K MAPnotice of risk and liabilityWhereas, the undersigned, voluntarily desires to participate in the Kent State University special event and whereas, the undersigned is duly aware of the risks and hazards that may arise through participation in said activity that may result in loss of life and/or limb and/or property of the undersigned. Therefore it is agreed as follows: that in consideration of being allowed to participate in said activity and receive the benefits therefrom, the undersigned hereby voluntarily assumes all risks of accident or personal damages to his/her person or property and thereby releases Kent State University, its agents and employees from every claim, liability or demand of any kind sustained, whether caused by the negligence of the said Kent State University, administrators, executors and assigned, or the undersigned; and the undersigned by signing this release hereby certifies that the undersigned has read and fully understands the conditions herein provided.

Signature (Parent/guardian signature if participant is under 18)

amenities- Chip timing- Gender specific T-shirts guaranteed for all registered by March 24, 2017- Free buffet for participants- Raffle prizes with gifts from local vendors

Women's Cut T-shirt o S o M o L o XL oXXLMen's Cut T-shirt o S o M o L o XL oXXLYouth Cut T-shirt o S o M o LGender o M o FFee o $20 (Before Jan. 31) o $25 (Feb. 1 –April 4) o $30 (Race Day)

Payment o Check Number ______________

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