Tag Cloud
Ed Radice Memorial 5K Run
and 1 Mile Family Fun Run
January 11, 2020
Ed Radice Sports Complex
14720 Ed Radice Drive, Tampa, Fl.
7:30am Check In 8:30am 5K 9:30am Walk
Cost $30 per person (5K)
$15 (1 Mile Walk) $10 (t-shirt only)
5K Race will be chip timed
All Runners and Walkers will receive t-shirt and medal
Registration deadline : December 27, 2019
_____5K Race
_____1 Mile Walk
_____T-shirt Only
_____Size—S, M, L, XL, XXL
All Proceeds will benefit Friends of the County Parks
FAMILY, FRIENDS, FUN, KINDNESS, LOYALTY, AND LOVE
Name______________________________________ Age: ___________ Sex: M F Shirt Size _________________
Cell Phone_________________________ Emergency Contact_ __________________________Phone_____________________
Email Address:__________________________________________________________
Running Club: __________________________________________________________
Waiver (MUST BE SIGNED)
In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my execu-
tors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors
and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will partici-
pate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I
hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I
may appear for any legitimate purpose, including advertising and promotion.
Printed Name___________________________________________________________________
Signature_______________________________________________________Date___________________________
Solicitation Disclosure Statement: Registration #CH6738. A copy of the official registration and financial information may be obtained from the Division of Con-
sumer Services by calling their toll-free number with the State. Registration does not imply endorsement, approval or recommendation by the State. Toll Free
#1-800-435-7352. Website: www.FloridaConsumerHelp.com
and 1 Mile Family Fun Run
January 11, 2020
Ed Radice Sports Complex
14720 Ed Radice Drive, Tampa, Fl.
7:30am Check In 8:30am 5K 9:30am Walk
Cost $30 per person (5K)
$15 (1 Mile Walk) $10 (t-shirt only)
5K Race will be chip timed
All Runners and Walkers will receive t-shirt and medal
Registration deadline : December 27, 2019
_____5K Race
_____1 Mile Walk
_____T-shirt Only
_____Size—S, M, L, XL, XXL
All Proceeds will benefit Friends of the County Parks
FAMILY, FRIENDS, FUN, KINDNESS, LOYALTY, AND LOVE
Name______________________________________ Age: ___________ Sex: M F Shirt Size _________________
Cell Phone_________________________ Emergency Contact_ __________________________Phone_____________________
Email Address:__________________________________________________________
Running Club: __________________________________________________________
Waiver (MUST BE SIGNED)
In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my execu-
tors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors
and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will partici-
pate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I
hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I
may appear for any legitimate purpose, including advertising and promotion.
Printed Name___________________________________________________________________
Signature_______________________________________________________Date___________________________
Solicitation Disclosure Statement: Registration #CH6738. A copy of the official registration and financial information may be obtained from the Division of Con-
sumer Services by calling their toll-free number with the State. Registration does not imply endorsement, approval or recommendation by the State. Toll Free
#1-800-435-7352. Website: www.FloridaConsumerHelp.com