5K/10K (Pitter Patter)

Sunday April 19th, 2008 at 10:00am sharp

Located at Loyalist College, Belleville

 

Registration

 

Registration from 8:30 a.m. to 9:30 a.m. in the cafeteria.  Medals for all age categories and divisions. Lots of prizes and giveaways.  Awards presented immediately after the race.  Showers and change rooms in the college. Aid stations on the route. T-shirts for the first 120 paid entries.  For further information, contact race coordinator Cst. Patrick Comeau at Pcomeau@police.belleville.on.ca or 613-966-0882 ext. 2227. See reverse for directions and map.

SPREAD THE WORD!

 

Cut along this line and save this portion for map and directions on reverse

 

 

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Entry Form

 

Please complete this entry form and mail it with your cheque or money order (made payable to:  Belleville Community Policing) in the appropriate amount to:  Cst. Patrick Comeau, Belleville Police Service, 93 Dundas Street East, Belleville, Ontario, K8N 1C2. e-mail:  Pcomeau@police.belleville.on.ca

 

FEES: Adult:   $20                                    Student:   $15

 

Name:                                                   Address:                             

 

City:                                                 Postal Code:                       

 

Email:                                              Phone #:                              

 

EVENT:          5K              10K            Gender:          Male    Female 

 

Age: 19&under 20-29 30-39 40-49 50+  T-Shirts Size: S  M  L XL XXL

 

Waiver:  In consideration of acceptance of the entry and in signing this waiver and release, I for myself, my family members, heirs, executors, administrators and assigns waive any claim to which I may become entitled for injury or damage against Loyalist College, the City of Belleville, Belleville Community Policing, Belleville Police Service, the race directors and race committee, sponsors, or their representatives, agents and employees, suffered by me as a result of attendance at or participation in this event or traveling to or from said event.

Information collected is used for Belleville Community Policing and Pitter Patter registration.

 

Date                                                      Signature                                  

 

Signature of Parent or Guardian (if entrant is under 18 years)                           

 

 

 

 

Directions

 

Getting there is easy…  South from Hwy. 401 on Wallbridge-Loyalist Road.  Go about one mile and see the college entrance on the left.  Plenty of parking!