11th Annual Sweet Heart 5k/10k February 17, 2018

Fruita Community Center

324 N Coulson St, Fruita, CO 81521

5K run/walk 10K runbegin promptly at 10:00am

Health Expo Starts at 9am and goes until 1pm

Entry: 5K:$2510K: $30

Amenities: Participants willreceive aTECHNICAL RUN TEE(guaranteedto first 400 registered participants),

Pre-Registeredgoodie bags, aidstations, post-race refreshments, and free use of locker rooms.

Packet Pickup: 5pm-6:30pm Friday, Feb. 17(Highly recommended)or 8am-9:45am Race Day (Both in Community Center)

Registration: Pre-register online February 15, by mail (must be sent by February 5) or in person at the Fruita Community Center (by February 15). You may also register in person Friday at the Fruita Community Center from 5-6:30pm. Race day registration: 8—9:45am

Awards: 5k and 10k: 1st and 2ndOverall male/female;1st, 2ndand 3rdmale and female finishers in the following categories:

14 Under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+YOU MUST BE PRESENT TO RECEIVE YOUR PRIZE!

Post-Race Party:Enjoy refreshments andawards after the race. The party will continue at the Copper Club Brewing Company

(223 E Aspen Ave) where you can redeem your 2 for 1 coupon or ½ price taster flight

Health Expo:9:00am-1:00pm featuring a variety of vendors promoting health and wellness

Please Complete Entry Form Below Call 970-858-0360 for more info.

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Check one: ___5k ____10k

Name: ______Gender: M _____ F _____

Age on race date: ______Date of Birth: (mm/dd/year): _____ / _____ / ______

Shirt Size: (circle one) Adult: Small Medium Large X-LargeChild: Small Medium Large

Address: ______

City: ______State: ______Zip: ______

Phone: (______) ______- ______Email: ______

Total Amount Paid: $ ______(check one of the following) Cash _____ Check ____ Checks Payable to the City of Fruita

Waiver Must Be Read and Signed Before Mailing:

I understand and agree that any bodily injury, death, or loss of personal property and expense as a result of my negligence, or the negligence of the City, are my responsibility. As lawful consideration for being permitted to participate in the Sweet Heart Run/Walk and Health Expo, I release from any legal liability and agree not to sue, file claim against the property of, or prosecute; and to indemnify and hold harmless, the City of Fruita and all its officers, agents and employees for any and all liability, injury, or death caused by or resulting from my voluntary participation in the activities mentioned above; whether or not such liability injury or death was caused by their negligence, or by my negligence, or any other cause. I authorize and consent to the publication of myself, whether by television, newsprint, written advertisements or otherwise, of any materials contained in my name or picture for participation in any event.

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Signature of Participant DateSignature of Parent or Guardian Date
(If participant is under 18 years of age)