1st ANNUAL 5K RUN/WALK & 1-MILE FUN RUN Saturday, May 7, 2011 Tawawa Park, Sidney, Ohio

1. 1st ANNUAL 5K RUN/WALK & 1-MILE FUN RUN Saturday, May 7, 2011 Tawawa Park, Sidney, Ohio TIME: Registrations will begin at 7:00 a.m. at the Geib Pavilion with the 1-Mile Fun Run race starting at 8:00 a.m. and the 5K Run/Walk starting at 8:30 a.m. MALE & FEMALE DIVISIONS:10 & Under, 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60 and over. AWARDS: Awards will be given to the Top 3 Male and Female runners and to the Top 3 Finishers in each category. Awards will begin at 9:45 a.m. at the Pavilion. 1-Mile Fun Run entrants will receive a participation ribbon upon completion. ENTRY FEE: Pre-registration fee for either the 1-Mile Fun Run or 5K Run/Walk is $15.00 and includes a T-shirt. Registration fee on the day of the race for the 5K Run/Walk is $15.00 and $5.00 for the 1-Mile Fun Run (T-shirts excluded for both races). Additional T-shirts may be available on race day for purchase. For additional registration forms or for more information on Compassionate Care of Shelby County, visitwww.ccsccares.org. Results will be published in the Sidney Daily News and on our website. Sponsored by: Hits 105.5, Freshway Foods, Ernst Sporting Goods, Wilson Memorial Hospital, Medicine Shoppe, Dr. Robert & Patricia Miller, John Boedigheimer, DDS, Charles J. Edelen, DDS & Damen Patel, DDS, Steve & Judy Mascho, Kah Nursery, Walt & Carol Bennett, Dr. Eric & Lynda Newman, Midmark , Dorothy Love Retirement Community, Alvetro Orthodontics, Picture Perfect, Sidney Foodtown, Regal Trophy, Premier Health Care Services, Mike & Marilyn Littlejohn, MaMa Rosa’s, Rich & Susan Wallace ------------------------------------------------------------------------------------- Entry Form Name: Age (day of race) Sex: _ Address: Phone Number: _ City, State, Zip: _ Date of Birth: _ Email address: _ Race: 5K Run/Walk 1-Mile Fun Run (Mark One) T-shirt size: YM YL S M L XL (Mark One Only) WAIVER OF LIABILITY (Must be signed to participate) In consideration for my being permitted to participate in the Compassionate Care of Shelby County’s 5K Run/Walk, I hereby release, discharge, and agree to hold free and harmless the Compassionate Care of Shelby County and volunteers and each of them together with their successors, assigns, officers, agents, and employees from any and all liability for injuries to property or person suffered by me as a result of my participation in the Compassionate Care of Shelby County’s 5K Run/Walk. By my execution of this waiver, I verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical doctor. This release shall be binding upon my heirs, executors, and administrators. Signature (required) __________ Date _ Parent’s Signature (if under 18) Date _ MAIL ENTRY FORM and PAYMENT TO: Compassionate Care of Shelby County (CCSC) % Deborah Wolfinger 1714 Burkewood Drive Sidney, Ohio 45365 CompCareRun@yahoo.com– for more information/questions Pre-Registration Deadline: Postmarked by April 20, 2011