THE COUNT DOWN!
4 Mile, 3 Mile, 2 Mile, 1 Mile Races
Sunday, May 31, 2020
7:30 a.m. - 4 Mile Race
8:45 a.m. - 3 Mile Race
9:45 a.m. - 2 Mile Race
10:30 a.m. - 1 Mile Race
Start:  Intelliplex Conference Center
2150 Intelliplex Dr.
Shelbyville, IN  46176

MAIL IN REGISTRATIONS DUE BY May 24, 2020
$30.00 - No Shirt
$35.00 - (No tshirt option in 2020)

PRINT, FILL OUT AND MAIL TO:
Energy2Action, LLC
1223 Oak Lane
Shelbyville, IN  46176


Signature: 
ENTRY FEE:  $30.00 No Shirt
Make Checks Payable to:  Energy2Action, LLC
Name:
Address:
Address:
City:
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In consideration of the foregoing, I, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for any claims damages I may have against any of the sponsors, volunteers, organizers, City of Shelbyville, The Intelliplex Park,  Energy2Action, LLC, and The Shelby Roadrunners,  for any and all claims of damages, demands or loss actions whatsoever which may arise as a result of my participation in this event.  I understand and acknowledge that participating in this run/walk/cycling event may expose me to dangers from both known and anticipated risks.  I understand that the course is not closed to traffic and that I could be at risk from traffic, other runners and cyclists, bad weather, ice and rough terrain along the course.  I acknowledge that some sections of this run and bike course may be off road or rough road and may contain areas where I will  be at risk of tripping and falling or wrecking.  I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical doctor.  I understand that this event may be canceled or delayed for any legitimate purpose or reason and that my entry fee will not be refunded under those circumstances or for any other reason.   Further, I grant full permission to any and all of the foregoing to use my likeness for any legitimate purpose whatsoever.
Age on Race Day:
T-Shrit Size:
Registration is $35 with a shirt  - Please choose 'none' if you do not wish to purchase a t-shirt
TOTAL:
WE DO PLAN TO CONDUCT THIS EVENT!
LIMIT 100 PARTICIPANTS.  YOU MUST PRE-REGISTER.  NO RACE DAY SIGN UP
WE WILL REFUND ENTRY FEES IF THE RACE IS CANCELED DUE TO GOVERNMENT REGULATIONS.  
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