www.fairfaxrecreation.com/egg-run

5K Walk | 5K Run | 10K Run

Kids Fun Run 10:15AM

A fun, family-friendly event in thebeautiful town of Fairfax, VermontThis family friendly event is hosted by the

Fairfax Parks & Recreation Department and takes place alongside the beautiful Lamoille

River in the heart of our village.

Proceeds benefit the Fairfax Community Center Renovation Project, bringing families

together to work, play and grow!

SATURDAY

AUGUST 4TH9:00AM

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ACCOLADES!

OUR SPONSORS

Races for theWHOLE FAMILY

RUNNER’S WOrLD • 2016

10BEST RACES TO DOWITH YOUR KIDS

ACTIVE MAGAZINE • 2014

10

Kids Fun Run Sponsor:

$20 online | $30 in person

$15 online | $25 in person

$15 online | $25 in person

$15 online | $25 in person

$50 online | $65 in person

$15 online | $25 in person

WAIVER STATEMENTI fully understand and appreciate that my participation in the above event, The Fairfax Egg Run, entails certain risks due to the challenging and strenuous nature of this physical activity. I represent to the Town of Fairfax Parks & Recreation Department that I have no current medical condition or other health limitation that would put me at risk for participating in this activity.

In consideration for my acceptance as a participant in the above event, I freely and knowingly assume all the inherent risks associated with it. I accept full responsibility for any and all injuries which may occur as result of my participation in this physical activity. I therefore release, hold harmless, waive, and covenant not to sue the Town of Fairfax, its officers, employees, and agents for the following: all claims, damages, losses, or liabilities of any kind including, but not limited to, all claims or liabilities for bodily injury or illness, theft or loss, or damage to my personal property.

In this regard, I represent to the Town of Fairfax Parks & Recreation

Department that I am 18 years or older and under no legal restrictions.

Yes, I have read and agree with the above statement:

IF REGISTERING A MINOR:In this regard, I represent to the Town of Fairfax

that I have the legal authority to act on their behalf, and that I am under no legal restrictions.

PRINT Name of Participating Minor:

Date of Birth:

Guardian’s Signature:

Date:

PRINT Name of Guardian:

REGISTRATION FORM PRICING INFORMATION

ADULT

YOUTH (12 & under)

STUDENT (13-18)

SENIOR (65+)

FAMILY (2 adults, 2 youth)

ACTIVE DUTY ARMEDFORCES/VETERANS

Registration includes our famous post-race omelets!

Please PRINT

State/Province: Zip:

Town/City:

MAIL COMPLETED REGISTRATION & REGISTRATION FEES TO:Fairfax Parks & Recreation Dept.

Attn: Egg Run12 Buck Hollow Rd., Fairfax, VT 05454

Signature

Branch

REGISTER ONLINE!www.fairfaxrecreation.com/egg-run

WANTTo SAVE

A STAMP?

One registrationper individual;

due postmarked no later thanJuly 27, 2018.

REGISTRATION & PRE-REGISTRATIONPACKET PICK UP

RACE HEADQUARTERS

PARKING & RESTROOMS

FAIRFAX UNITED CHURCH2 River Road

Fairfax, Vermont 05454

BFA FAIRFAX/COMMUNITY LIBRARY75 Hunt Street

Fairfax, Vermont 05454

Friday

AUGUST 3rd6:00PM - 7:00PM

Saturday

AUGUST 4TH7:15AM - 8:30AM

Location:

FAIRFAX uNITED CHURCH

2 River RoadFairfax, VT

FOR COURSE MAPS, ELEVATION PROFILES AND MORE INFORMATION PLEASE VISIT:

www.fairfaxrecreation.com/egg-run

T-SHIRT ORDER FORMOrder an official 2018 Egg Run t-shirt, available for $20 each.

Available in sizes XS, Small, Medium, Large, and XL.

SizeExtra Small

SmallMediumLarge

Extra Large

x $20x $20x $20x $20x $20

Qty. Subtotal

TOTAL$

$

$

$

$

$

Last Name:

First Name:

Age: Gender:

Street Address:

Phone Number:

Email Address:

Emergency Contact, Name:

Emergency Contact, Phone Number:

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