Kyle’s Summer Classic 5K Run/Walk Registration Form

Saturday, July 16 @ 8:00 a.m.
West Edgewood Drive, Jefferson City
Benefits the Jays High School Cross Country Boosters

Interested in becoming a member of the Jefferson City Road Runners?

Go to the following link: https://runjeffcity.org/2020-online-membership-dues/

Print and Mail your Entry here: https://bit.ly/3JOcbdn

2022 Kyle's Summer Classic

Race pandemic concerns: Pre-race: 1. Please refrain from participation if you are experiencing any symptoms associated with Covid-19, if you are not feeling well, or are in any way concerned about contracting Covid-19. 2. Make all attempts to maintain 6 feet separation while waiting for the race to start. 3. No registration race morning (this is because of trying to track results with a large starting line window precludes last minute entries into the timing program). 4. Masks will not be provided. You will need to bring your own if you plan to use one. Actual race: 5. This course is chip timed; therefore, as long as you cross the mats between 7:00 and 8:00 a.m., your time will be used to determine age group winners. NOTE: stay clear of timing mats prior to actually starting the race (if the mat picks up your chip signature, your recorded overall time could be significantly longer than actual). 6. You must also cross the timing mats when you finish the 5K for the time to be recorded by the timing software. This software captures your overall time. 7. There will be no mass start! Participants should stagger themselves to small pods of people when crossing the start line. 8. Once you are actually running/walking the 5K, follow normal race protocol. 9. Chip timing is not foolproof (for example see #5 above). It is recommended that you self-time your race as a backup. Post-race: 10. Minimize time spent at finish line and maintain social distancing; feel free to go home after the race. 11. Awards will be mailed and results will be posted at runjeffcity.org. 12. Hand sanitizer will be available at starting/finish area. 13. Snacks and water will be available. To minimize excessive handling, they will be out on tables for grab and go. I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for myself, including all minor children in my care, custody, and control, for bodily injury, death or loss of personal property and expenses as a result of those inherent risks and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this activity. I assume all risks including: the effects of the weather; high heat and/or humidity; falls, physical contact with other participants, volunteers, race personnel, contract service providers, employees, and spectators including the potential of contracting a communicable disease. I further agree to abide by the Center for Disease Control’s (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases. I assume all such risks being known, appreciated, and accepted by me.
Signature
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Please list the best contact number for you.
Are you a member of the Jefferson City Roadrunners Club?*
- Yes
- No
Shirt Size*
- Youth
- Unisex Small
- Unisex Medium
- Unisex Large
- Unisex X-Large
- Unisex XX-Large
Please select the best size shirt for you - these are unisex shirts. Shirts guaranteed to the first 100 Entrants
Age*
Please submit your age on July 16, 2022.
Gender*
- Female
- Male
Race*
- 5K Run - Some walking allowed
- 5K Walk - NO JOGGING allowed
Note: There is a $2 processing fee per race entry.
Race Entry Fee for entry #1*
Price:
Signature*
NOTE: IF YOU ARE UNDER 18 years of age this form must be signed by your legal guardian. RELEASE: In the consideration of the acceptance of my entry, I, for myself, my administrators, executors and assignees, do hereby release, and discharge the Jefferson City Roadrunners and all other sponsors for all claims of damages, demands and actions, whatsoever arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risk involved in this event and I am physically fit and trained for this event
Would you like to register more than one person for the race?*
- No
- Yes
Second Entry
Name*
First Last
Are you a member of the Jefferson City Roadrunners Club?*
- Yes
- No
Is the contact information the same for both entries?*
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Please list the best contact number for you.
Shirt Size*
- Youth
- Unisex Small
- Unisex Medium
- Unisex Large
- Unisex X-Large
- Unisex XX-Large
Please select the best size shirt for you - these are unisex shirts. Shirts guaranteed to the first 100 Entrants
Age*
Please submit your age on July 16, 2022.
Gender*
- Female
- Male
Race*
- 5K Run - Some walking allowed
- 5K Walk - NO JOGGING allowed
Note: There is a $2 processing fee per race entry.
Race Entry Fee for entry #2*
Price:
Signature*
NOTE: IF YOU ARE UNDER 18 years of age this form must be signed by your legal guardian. RELEASE: In the consideration of the acceptance of my entry, I, for myself, my administrators, executors and assignees, do hereby release, and discharge the Jefferson City Roadrunners and all other sponsors for all claims of damages, demands and actions, whatsoever arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risk involved in this event and I am physically fit and trained for this event
Would you like to register more than two people for the race?*
- No
- Yes
Third Entry
Name*
First Last
Are you a member of the Jefferson City Roadrunners Club?*
- Yes
- No
Is the contact information the same for all three entries?*
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Please list the best contact number for you.
Shirt Size*
- Youth
- Unisex Small
- Unisex Medium
- Unisex Large
- Unisex X-Large
- Unisex XX-Large
Please select the best size shirt for you - these are unisex shirts. Shirts guaranteed to the first 100 Entrants
Age*
Please submit your age on July 16, 2022.
Gender*
- Female
- Male
Race*
- 5K Run - Some walking allowed
- 5K Walk - NO JOGGING allowed
Note: There is a $2 processing fee per race entry.
Race Entry Fee for entry #3*
Price:
Signature*
NOTE: IF YOU ARE UNDER 18 years of age this form must be signed by your legal guardian. RELEASE: In the consideration of the acceptance of my entry, I, for myself, my administrators, executors and assignees, do hereby release, and discharge the Jefferson City Roadrunners and all other sponsors for all claims of damages, demands and actions, whatsoever arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risk involved in this event and I am physically fit and trained for this event
Would you like to register more than three people for the race?*
- No
- Yes
Fourth Entry
Name*
First Last
Are you a member of the Jefferson City Roadrunners Club?*
- Yes
- No
Is the contact information the same for all four entries?*
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Please list the best contact number for you.
Shirt Size*
- Youth
- Unisex Small
- Unisex Medium
- Unisex Large
- Unisex X-Large
- Unisex XX-Large
Please select the best size shirt for you - these are unisex shirts. Shirts guaranteed to the first 100 Entrants
Age*
Please submit your age on July 16, 2022.
Gender*
- Female
- Male
Race*
- 5K Run - Some walking allowed
- 5K Walk - NO JOGGING allowed
Note: There is a $2 processing fee per race entry.
Race Entry Fee for entry #4*
Price:
Signature*
NOTE: IF YOU ARE UNDER 18 years of age this form must be signed by your legal guardian. RELEASE: In the consideration of the acceptance of my entry, I, for myself, my administrators, executors and assignees, do hereby release, and discharge the Jefferson City Roadrunners and all other sponsors for all claims of damages, demands and actions, whatsoever arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risk involved in this event and I am physically fit and trained for this event
Would you like to register more than four people for the race?*
- No
- Yes
Fifth Entry
Name*
First Last
Are you a member of the Jefferson City Roadrunners Club?*
- Yes
- No
Is the contact information the same for all five entries?*
- Yes
- No
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Please list the best contact number for you.
Shirt Size*
- Youth
- Unisex Small
- Unisex Medium
- Unisex Large
- Unisex X-Large
- Unisex XX-Large
Please select the best size shirt for you - these are unisex shirts. Shirts guaranteed to the first 100 Entrants
Age*
Please submit your age on July 16, 2022.
Gender*
- Female
- Male
Race*
- 5K Run - Some walking allowed
- 5K Walk - NO JOGGING allowed
Note: There is a $2 processing fee per race entry.
Race Entry Fee for entry #5*
Price:
Signature*
NOTE: IF YOU ARE UNDER 18 years of age this form must be signed by your legal guardian. RELEASE: In the consideration of the acceptance of my entry, I, for myself, my administrators, executors and assignees, do hereby release, and discharge the Jefferson City Roadrunners and all other sponsors for all claims of damages, demands and actions, whatsoever arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risk involved in this event and I am physically fit and trained for this event
Payment
We use PayPal for secure online payments. Please be patient as you will be redirected to their site. NOTE: You do not have to be a PayPal member to pay. Simply select "Pay With A Debit or Credit Card" at the bottom of the form. Thank you!
Total
$0.00

Race Location: West Edgewood Drive, Jefferson City, MO 65109

Race Description: Benefits the Jays High School Cross Country Boosters.

T-shirts guaranteed to first 100 entrants.

Packet pickup and last minute registration available from 5:30 to 7:00 p.m. 7/15/2022 at N H Scheppers Distributing Company’s Clydesdale Room, 2300 St. Marys Blvd, Jefferson City

Race Address: Race will start and finish at the Greenway Parking Lot on West Edgewood Drive, Jefferson City.

Jefferson City Roadrunners

2022 Kyle's Summer Classic

Second Entry

Third Entry

Fourth Entry

Fifth Entry

Payment

Race Location: West Edgewood Drive, Jefferson City, MO 65109

Race Description: Benefits the Jays High School Cross Country Boosters.

Packet pickup and last minute registration available from 5:30 to 7:00 p.m. 7/15/2022 at N H Scheppers Distributing Company’s Clydesdale Room, 2300 St. Marys Blvd, Jefferson City

Jefferson City Roadrunners

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