FARMINGTON DISASTER RELIEF 5K TRAIL RUN

Sunday, October 27th on the Mt. Blue High School Cross Country Course

Start Time:                9:00 AM

Registration:                8:00 AM - Race day        

Location:                Across from the High School at 129 Seamon Road, Farmington, Maine

Benefit:        Franklin Savings Bank has created two accounts dedicated to those affected by the September 16 explosion at the LEAP building. The Farmington Firemen’s Benevolent Association account benefits the firefighters and first responders and the Disaster Relief Fund is dedicated to families and individuals who have been displaced or injured in the explosion. All proceeds raised will be divided evenly and donated to each of these accounts.         

Categories:        10 & under, 11-14, 15-18, 19-29, 30-39, 40-49, 50-59, 60-69, 70 & up                   

Awards:                        Top 2 in each age group                           

Registration Fee:        $20

        Additional donations appreciated.

                     

Questions?         Kelley Cullenberg – 207-860-0306 or cullenberg.kelley@gmail.com 

                Sarah Doscinski - 207-491-1675 or sdoscinski@gmail.com

                Tracy Knapp - 207-491-1131 or tknapp@mtbluersd.org

Entry Form

NAME (print): ____________________________________________________________________________________ Age:________ Sex:__________ Phone:_________________

Address: _________________________________________________City: __________________________________State:______Zip______________________________

In consideration of the acceptance of this entry, I hereby for myself, heirs, executors, administrators, waive and release any and all rights and claims for damages I may have against the organization holding this event, sponsors, race officials, organizers and volunteers associated with this event, for any injury that may occur as a result of my participation in this event.

Signature: __________________________________________________________________________________ Parent/Guardian (if under 18)    Date: __________________

*THIS IS NOT AN RSU 9 SPONSORED EVENT*