Indian Cross Country Boosters Dr. Bender Cross
Country Classic Open
5K, Middle School Age 2-Mile
& Elementary Age 1.5K “Do the
Bender”

WHEN:
Elem. Age 1.5K @
WHERE:
(Directions on C.W.X.C. web site www.geocities.com/cwcrosscountry/)
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CROSS
COUNTRY course 3/8 inch spikes welcome
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Refreshments at the finish T-shirts to first 200 entrants
Lots of awards
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ENTRY FEE: Individual: $15 (postmarked by June 28) Family:
$35 (postmarked by June 28)
Individual: $20 (after June 28) Family:
$50 (after June 28)
Make checks payable to “Indian Cross
Country Boosters”
TIME SCHEDULE:
Awards
presented immediately following Open 5K race
AWARDS:
Elementary Age 1.5K: Top
14 male & top 14 female finishers.
Middle School Age 2-Mile:
Top 14 male & top 14 female
finishers.
Open 5K: Top
three males and females in each age group, plus awards to the top three
over-all male & female finishers.
AGE GROUPS:
Elementary Age 1.5K: will be in sixth grade or below
Middle School Age 2-Mile: will be seventh
or eighth grade
Open
QUESTIONS? Contact
Mike Browning at: browning_mb@hotmail.com
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Check race
entry below:
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Elementary Age 1.5K Cross Country Race @
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Middle School Age 2-Mile Cross Country Race @
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Open 5K Cross Country Race @
·
Family entries -
submit an entry form for each family member, staple family entries together
·
Mail this form with
entry fee (checks payable to “Indian
Cross Country Boosters”) to:
S. Meidl,
·
Due to OHSAA
rules, school uniforms are not permitted
NAME: ____________________________________________ AGE (on race day):
Elementary & MS entrants: Will be in grade level:
STREET ADDRESS: ______________________________________ PHONE:
CITY: ____________________________________ STATE: _________ ZIP CODE:
E-Mail Address:
SHIRT SIZE (circle one) youth
adult / size
(circle one) S
M L XL
XXL SEX M
F
In consideration of the foregoing,
I, myself, my executors, administrators, and assigns, do hereby release and
discharge Canal Winchester Schools, Indian Cross Country Boosters, the race
committee, the City of Canal Winchester, and all race sponsors, officials, and
associates from all claims of damages, demands, actions and causes of action
whatsoever in any manner arising out of my participation. I grant permission to all of the foregoing to
use my photographs, name, videos or any other recording of this event for
legitimate purpose.
_________________________________ _________________________________ __________________
signature of runner parent
or guardian (if under 18) date