www.fairfaxrecreation.com/egg-run 5K Walk | 5K Run | 10K Run Kids Fun Run 10:15AM A fun, family-friendly event in the beautiful town of Fairfax, Vermont This family friendly event is hosted by the Fairfax Parks & Recreation Department and takes place alongside the beautiful Lamoille River in the heart of our village. Proceeds benefit the Fairfax Community Center Renovation Project , bringing families together to work, play and grow! SATURDAY AUGUST 4TH 9:00AM FAIRFAX PARKS & RECREATION DEPARTMENT 12 Buck Hollow Road Fairfax, Vermont 05454 ACCOLADES! OUR SPONSORS Races for the WHOLE FAMILY RUNNER’S WOrLD • 2016 10 BEST RACES TO DO WITH YOUR KIDS ACTIVE MAGAZINE • 2014 10 Kids Fun Run Sponsor:
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ACCOLADES!€¦ · RACE HEADQUARTERS PARKING & RESTROOMS FAIRFAX UNITED CHURCH 2 River Road Fairfax, Vermont 05454 BFA FAIRFAX/COMMUNITY LIBRARY 75 Hunt Street Fairfax, Vermont 05454
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www.fairfaxrecreation.com/egg-run
5K Walk | 5K Run | 10K Run
Kids Fun Run 10:15AM
A fun, family-friendly event in thebeautiful town of Fairfax, VermontThis family friendly event is hosted by the
Fairfax Parks & Recreation Department and takes place alongside the beautiful Lamoille
River in the heart of our village.
Proceeds benefit the Fairfax Community Center Renovation Project, bringing families
together to work, play and grow!
SATURDAY
AUGUST 4TH9:00AM
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ACCOLADES!
OUR SPONSORS
Races for theWHOLE FAMILY
RUNNER’S WOrLD • 2016
10BEST RACES TO DOWITH YOUR KIDS
ACTIVE MAGAZINE • 2014
10
Kids Fun Run Sponsor:
$20 online | $30 in person
$15 online | $25 in person
$15 online | $25 in person
$15 online | $25 in person
$50 online | $65 in person
$15 online | $25 in person
WAIVER STATEMENTI fully understand and appreciate that my participation in the above event, The Fairfax Egg Run, entails certain risks due to the challenging and strenuous nature of this physical activity. I represent to the Town of Fairfax Parks & Recreation Department that I have no current medical condition or other health limitation that would put me at risk for participating in this activity.
In consideration for my acceptance as a participant in the above event, I freely and knowingly assume all the inherent risks associated with it. I accept full responsibility for any and all injuries which may occur as result of my participation in this physical activity. I therefore release, hold harmless, waive, and covenant not to sue the Town of Fairfax, its officers, employees, and agents for the following: all claims, damages, losses, or liabilities of any kind including, but not limited to, all claims or liabilities for bodily injury or illness, theft or loss, or damage to my personal property.
In this regard, I represent to the Town of Fairfax Parks & Recreation
Department that I am 18 years or older and under no legal restrictions.
Yes, I have read and agree with the above statement:
IF REGISTERING A MINOR:In this regard, I represent to the Town of Fairfax
that I have the legal authority to act on their behalf, and that I am under no legal restrictions.
PRINT Name of Participating Minor:
Date of Birth:
Guardian’s Signature:
Date:
PRINT Name of Guardian:
REGISTRATION FORM PRICING INFORMATION
ADULT
YOUTH (12 & under)
STUDENT (13-18)
SENIOR (65+)
FAMILY (2 adults, 2 youth)
ACTIVE DUTY ARMEDFORCES/VETERANS
Registration includes our famous post-race omelets!
Please PRINT
State/Province: Zip:
Town/City:
MAIL COMPLETED REGISTRATION & REGISTRATION FEES TO:Fairfax Parks & Recreation Dept.