NEWFIELD RUN FOR HOSPICE

5K RUN & 1.5 MILE HEALTH WALK

SUNDAY, SEPTEMBER 12, 2004

(Rain or Shine)

WHEN: September 12, 2004

Start of 5K Road Race - 9:00 am

Walk starts immediately after 5K

WHERE: Edgarton Memorial School

212 Catawba Ave.

Newfield, NJ 08344

REGISTRATION:

Pre-Registration (postmarked on or before Sept 3, 2004)

5K Run: $15 - 1.5 Mile Walk: $10

Day of Race - 5K Run: $20 - 1.5 Mile Walk $12

Registration will open Sept. 12th at 7 am

AWARD CATEGORIES:

5K Age Group Male & Female (Top 3 in all Categories):

14 & Under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & over

1.5 Mile Health Walk:

1st, 2nd, & 3rd Place Overall Finishers

AMENITIES:

Race T-Shirts guaranteed to all runners & walkers who pre-register and while

supplies last to race day registrants. Trophies to 1st place & medals to other

age group award winners. Pre and Post Race Refreshments.

BENEFIT:

A portion of the proceeds will benefit Hospice Care of South Jersey

DIRECTIONS:

From North: Rt 55 to Exit 39A. Continue straight onto West Blvd. for approximately

3.3 miles to blinking light and turn left onto Catawba Avenue for approximately

1/4 mile to Edgarton School on left.

From South: Rt 55 to Exit 39A. Then follow directions from North.

Mail Checks and Entry Forms (by September 3, 2004) to:

L&M Computer Sports, Inc. - 89 Park Drive - Berlin NJ 08009

Make Checks Payable to: "Newfield Recreation Com. / 5K Run"

PLEASE DO NOT REGISTER BY MAIL DURING RACE WEEK

*****************************************************

Name ____________________________________________________________

Address __________________________________________________________

City ______________________________ State _______ Zip Code __________

Phone ____________________________

Age on Race Day______ Sex ______

Please check one of the following:

___ 5K($15 Pre-Registration / $20 Day of Race) ___ 1.5 Mile Walk ($10 Pre-Registration / $12 Day of Race)

T-Shirt size: M ___ L ____ XL ____

WAIVER AND RELEASE: ALL ENTRIES MUST SIGN

In consideration for accepting this entry, and the granting of the right to participate in this event. I, the undersigned intending to be legally bound, hereby, for myself my heirs, personal representatives, successors, and assignees and/or any other person whomsoever for any and all, waive and release any and all claims for losses and damges I may have against Newfield Recreation Commission, Borough of Newfield, L&M Sports, Inc., Race Sponsors and Race Volunteers, all representatives, successors and assignee and/or any other person whomever for any and all injuries, illness, including death, that may result from my participation in said event. I represent and affirm that I am in proper physical condition to participate in this event, and verified by a licensed physician, have sufficiently trained for the completion of this event. The undersigned has read and voluntarily signed this release and wiaver.

Signature(Parent or Guardian if under 18 yrs old ____________________________________ Date ________________