James B. Francis / Andrea Kofahl Memorial 5K
Saturday July 12th 2008 - Chili, NY - 9:00 AM
jamesfrancis5k.batemantech.com
Race Information:
Details: Cross country race on grass through the park hosted by the Churchville Chili cross country teams.
Start/Finish: Black Creek Park Chili, NY (near the sledding hill)
Starting Time: 9:00 AM
Registration: Pre-registration $12.00 (before July 9th)
Day of the race $15.00 ($12.00 for runners under age 18)
Forms may be completed and mailed to Paul Glor or completed on the day of the race from 7:30 - 8:45 AM
T-Shirts First 100 participants will receive a race t-shirt
Awards Overall Male/Female
Masters Male/Female
Top 3 in age group: 12 and under, 13-15, 16-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Food and door prizes!!!
Contact Info: Paul Glor @ (585)429-0252
pglor@hotmail.com

Please complete the following form and return to: Paul Glor 3460 Lyell Road Rochester NY 14606. Make checks payable to James B. Francis Fund
First Name
Last Name
MI
Address
Phone #
Emergency Contact Name and #
Age on Race Day
Please Circle: Male / Female T-Shirt Size: S M L XL
Waiver must be signed and read before registration is accepted:
I know that running is a potentially hazardous activity. I should not enter or run this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, the conditions of the course, all such risks being known and appreciated by me. Having read this waver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the event and all sponsors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in the waver. All fees are non-refundable.
Signature (Parent or Guardian if under 18)
Date