Peekskill City School District

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Peekskill's 2nd Annual Superintendent's 5K sponsored by the Peekskill Education Foundation

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Date: Saturday, October 15, 2016
WALKERS WELCOME!

Check-in: 7:00 a.m. - 7:45 a.m.

For Kids 10 and under: 1/4 mile Fun Run around Track at 8:00 am. Please register your child for the Fun Run.

Race Start Time: 8:30 a.m.

Location: Torpy Field in Depew Park, 1050 Hudson Avenue, Peekskill NY 10566
Start Location: Robin Drive behind Veteran's Memorial Pool in Depew Park
End Location: Torpy Field

Parking available at Peekskill High School, Administration Building, Depew Park lot (by Horseshoe Pit), Peekskill Middle School and side streets. The parking lot by the pool will not be available.

Online Registration Ends: October 7, 2016
Mail-in Registration must be postmarked by October 3, 2016

Free t-shirt and string bag for the first 200 people who pre-register for the 5K
by Monday, Oct. 3, 2016!

Race package pick-up at 1031 Elm Street, Peekskill NY 10566
- Wednesday, October 12th, 9 a.m. - 4 p.m.
- Thursday, October 13th, 9 a.m. - 7:30 p.m.
- Friday, October 14th, 9 a.m. - 4 p.m.

ChronoTrack Timed Race - Break your best 5K record!

For more information or questions contact PCSD5K@peekskillcsd.org or 914-737-3300 x 347

First Name

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Last Name

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Email Address

Your registration confirmation and updates will be sent to this email address.

Must be a valid email address

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Gender

Male
Female

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Age Group

Please select your age group from the dropdown list.

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Team

If you are a member of a team please add your team name here.

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T-shirt Size

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Home Address

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Date of Birth

Phone Number

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Emergency Contact Name

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Emergency Contact Phone Number

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Emergency Contact Relationship to You

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Participant Waiver for Race Registration:

I hereby declare, assert and affirm that participation in the Peekskill 5K Fun Run/Walk is done having voluntarily and knowingly assumed ALL RISKS involved in this event. I know that running/walking a road race is a potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able. By clicking “I agree”, I certify that I am medically able to perform this event, and am in good health. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, waive and release Peekskill City School District, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

I agree

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Payment Information

Payments for registration are to be made to the Peekskill Education Foundation (PEF). The PEF supports the students of Peekskill City School District by providing grants and funding to the schools. Registration Fees: - 10 years old and under Fun Run: Free - 10 years old and under 5K: $15.00 - 11 - 19 years old: $15.00 - 20 years and above: $25.00 - The fee for registering the day of the race will be $30.00 When you click "submit" after completing this form you will be redirected to the payment page to make a payment by credit card. If you would like to pay your registration fees by cash or check (made out to Peekskill Education Foundation), please bring your payment to the PCSD Administration Office located at 1031 Elm Street, Peekskill. The office will be accepting 5K payments Monday-Thursday from 8 a.m.-3 p.m.and Fridays from 8 a.m. -11:30 a.m.