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Ruckersville PTA
Presents
The 1st Annual Ruckersville
Elementary School 5k “Run For Fun”
A Run/Walk to Benefit the
Playground Building Fund
Saturday, May 3, 2008
8:00am

Ruckersville Elementary School
Entry Fee: $ 15
donation if you enter by 5pm on May 2nd ( $ 12
Teachers in the Greene Co. School System.) $ 20 on
race day for all entrants! Race day registration
is from 7:00-7:45am at the race site.
Registration Forms and donations can be mailed or
delivered to: Ragged Mountain Running Shop, #3
Elliewood Ave., Charlottesville, VA., 22903.
Prizes from Ragged Mountain Running Shop
will be given to the overall Male & Female
finishers and to the top age group placers. A grand
prize, lunch for two from the Boar’s Head Inn, will
be awarded to the overall winner!
Age Groups will consist of the following :10 &
younger, 11-14, 15-19, 20-24, 25-29, 30-39, 40-49,
50-59, 60-69, 70-79, 80 +
A Free Race T- shirt to all entrants!
FREE RACE SITE PARKING
will be available courtesy of Ruckersville
Elementary School ,105 Progress Place, Ruckersville,
VA ( Rt. 29 North, Left on Rt. 33 West, school is
approximately ¼ mi. on right.)
For more information please call 434-293-3367 or
e-mail
danaw@montaguemiller.com.
---------------------------Please
cut and mail or deliver to #3
Elliewood---------------------------------
Name (Please
Print)___________________________________________Age_________
Full Mailing
Address_____________________________________________
______________________________________Zip
Code_________________
E-Mail
Address________________________Phone______________________
T-Shirt Size (Circle) S M L XL XXL
Yes, I would like to give $___________ beyond the
entry fee for the Playground Building Fund.
WAIVER (You must sign) I do hereby release
the Ruckersville PTA, Greene County School System ,
The Ragged Mountain Running Shop and all other
sponsors and race day volunteers from any liability
due to an injury that I should incur traveling to,
during or traveling from the 2008 5k Run for Fun. I
am in good physical condition and understand that I
am completely responsible for my health and also
understand that if the event has to be canceled
there will be NO refunds. I also understand that no
baby strollers or dogs will be allowed on the race
course during the event.
Signature_____________________________________Date____________
Signature of Parent or Adult Guardian (If under
18)______________________________
Please mail or deliver to: Ruckersville 5k Run
for Fun, #3 Elliewood Ave., Charlottesville, VA.,
22903
Please make checks payable to: Ruckersville PTA
$15 ( Greene teachers $12 ) if registered by May
2nd…….$20 on race day!
Donations for the Playground Building Fund beyond
the entry fee are greatly appreciated!
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