9th Annual
Terry Ryan Memorial Run
Sunday, November 14th, 2010
1 Mile Fun Run at 12:30 pm
5K (3.1 miles) and 10K (6.2 miles) begins at 1:30 pm
Start and finish at Hastings High School Cochrane Gym Entrance,
School Street, Hastings-on-Hudson, NY 10706
Check-in begins at NOON at the Hastings High School Cochrane Gym
Times & race results kept by the Westchester Roadrunners Club
Fee: Prior to November 14th - $15.00
On November 14th - $20.00
Fun Run - $5.00
Please make checks payable to the Village of Hastings-on-Hudson
Please send all Forms with Checks to:
Recreation Department
Terry Ryan Run
7 Maple Ave
Hastings-on-Hudson NY 10706
2010 Official Sponsors
Crown Trophy Hastings Fire Department
The Ryan Family Palisade Sign Shoppe
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Official Entry Blank
Check #
|
Runner # |
Place |
Time |
Please Circle One: 5K 10K 1 Mile Fun Run
Name: ___________________________ Phone #: _______________ E-Mail: ______________________
Address: _____________________________ City: ___________________ State: _____ Zip Code: _______
Male Female Age on Race Day: ________ DOB: ___________ T-Shirt Size: S M L XL
In consideration of your accepting this entry, I, the undersigned, for myself, my executors, administrators and assignees, do hereby release and
discharge Westchester Roadrunners, Hastings Recreation Department and any and all sponsors, organizers, and their representatives and successors
from all claims of damages, demands, actions, and causes of action, whatsoever, in any manner arising or growing out of my participation in said road
race. I further attest that I am physically qualified to participate in this race.
Signature: _________________________________________ Date: ______________
Parent’s Signature (if under 18): ______________________________ Date: ______________
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