T-SHIRTS
The first 300 pre-registered Participants will receive
a T-Shirt.
To be guaranteed a T-Shirt in your chosen size, your entry MUST be received by August 10th / AGE DIVISIONS
10 & Under 11 to 14 15 to 19
20 to 24 25 to 29 30 to 34
35 to 39 40 to 44 45 to 49
50 to 54 55 to 59 60 to 64
65 to 69 70 to 75 76 plus
Stroller Division / AWARDS FOR 1st & 2nd PLACES
Overall Top Finishers,
Male & Female
Overall Masters Top Finishers,
Male & Female Age 50 and Up
Top Finishers in Each Age Group, Male & Female
Top Stroller Finishers
NO DUPLICATION OF AWARDS
EARLY REGISTRATION
$20 through August 24th
Entries must be received by August 24th for early Registration
LATE REGISTRATION
$25 from August 25th to Race Day,
Monday, September 7th
RACE FEE IS NON-REFUNDABLE
NO BANDITS PLEASE
NO ANIMALS ALLOWED IN RUN/WALK OR ON-SITE / PACKET PICK-UP
& LATE REGISTRATION
Early Pickups at The Good Samaritan Center, 1523 Chestnut Street, Kenova, WV 25530
Friday, September 4th
8:00am - 4:00pm
Sunday, September 6th
2:00 -4:00pm
On Day of the RACE
7:00 am to 8:25am / START TIME
Race begins at 8:30am
POST RACE CELEBRATION
Awards Ceremony will take place immediately after the end of the race
Additional forms available at Ceredo Town Hall, Kenova City Hall, C-K Florist,
and C-K Memorial Library, or visit the race web site at www.gssoles5k.com

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2015 Good Samaritan Soles 5K Run/Walk Entry Form
Name (Please Print): ______Phone #: (______)______
Mailing Address: ______
Email Address: ______
Male _____ Female _____ Age on 9-7-2015: ______
Circle Age Group or Category: 10 & Under 11 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39
40 to 44 45 to 49 50 to 54 55 to 59 60 to 64 65 to 69 70 to 75 76 plus Stroller Division
Circle T-Shirt Size: S M L XL XXL Donation / Check Amount Enclosed $______
Make Checks Payable To & Mail To: Good Samaritan Center –1523 Chestnut Street–Kenova, WV 25530
For mailing purposes please allow 3 to 4 days for delivery Race Fee Is No-Refundable
WAIVER: I, undersigned, waive and release myself, my heirs, executors and administrators, any and all rights and claims for damages, demands and any other actions whatsoever, which I may have against the City of Kenova, the Town of Ceredo, The Good Samaritan Center and participating sponsors and supporters of those entities, successors, representatives and assigns, arising out of my participation in this event. Should I suffer any injury or illness, I authorize officials of this race to use their discretion to have me medically treated and transported to a medical facility and I take full responsibility for this action.
Participant’s Signature ______
Parent/Guardian Signature (if participant is Under 18): ______
ABOUT THE GOOD SAMARITAN CENTER
The Good Samaritan Center has helped the less fortunate in our area since it was established in 1984. It provides food and financial assistance for families in need. / RACE LOCATION AND ROUTE
The course is a Fast and Flat race through the communities of Ceredo-and Kenova. The Run/Walk will begin and end at the C-K Little League’s Mitch Stadium located next to the Ceredo Plaza.
Parking available at the Ceredo Plaza parking lot
New Age Divisions
Because our 5K run/walk has become such a family-oriented event we have expanded our age divisions
to allow more participants an opportunity to win an award. Just our way of saying “thank you”
for your continued support of The Good Samaritan Center!
For More Information Contact Tom Knopp at 304-453-6848 or 304-730-0227
or visit our web site at www.gssoles5k.com
Support Our 2014 5K Run/Walk Sponsors
Save A Lot
Our Good Friend Chris
C-K Florist
Robertson’s Signs and Graphics
Zim’s Bagging
Eric Sparks Memorial Golf Outing
Gino’s Pizza of Kenova
Highway Safety, Inc.
Walker Transfer and Storage
Delegate Don Perdue
Superior Coin Laundry
Evaroni’s Pizza
McDonald’s of Kenova / Tom’s Barber Shop
Byard Insurance and Financial Services
Griffith & Feil Pharmacy
C-K Community Center
Scites Electric
Marathon
Ernie Colegrove Construction
Rollins Funeral Home
Kenova Volunteer Fire Department
Huntington Physical Therapy
Cabell Huntington Hospital
National Lock & Security / Larry McCoy Auto Sales
Hardin’s Wholesale
Ceredo Fire & Rescue
Thompson’s Pest
Mosser Apartments
Austin’s Homemade Ice Cream & Yogurt
H & R Block –Debbie Methex
Kenny Queen Hardware
Diversified Medical Alliance
Browning Eye Care
Foodfair
United Bank
/ Labor Day, Monday,
September 7th
8:30AM
“ . . . In as much as ye have done it unto one of the least of these my brethren, ye have done it unto Me.”
Matthew 25:40 / Proceeds to Benefit The Good Samaritan Center