Title: Citi 5K Saturday, October 20th Start Time:
1 5K Run Date Saturday, October
17thStart Time 830am5K Run Place Citicorp
Credit Services, Inc. (USA)
- Entry Fees
- Pre-Registration Fee (Postmarked by September
21, 2009) 20 - Race Day Fee 25
- Registered runners will receive a FREE T-Shirt
on race day!! - MAKE CHECKS PAYABLE TO
- The American Heart Association
- Race day Registration and Packet Pick-Up
- 700am to 815am Lobby 3
- Course
- Start/Finish at Citicorp. Course support water
stops provided. - Prizes for 5K
- Top three Male Female Finishers
Proceeds to Benefit The American Heart Association
Complete, Clip, Mail to Citicorp Credit
Services, Inc. (USA) ATTN Mike Frazee 14700
Citicorp Drive Hagerstown, MD 21742 WAIVER
Upon acceptance of my entry, I, the
undersigned, assume all risks associated with
running in this event and do hereby release and
discharge Citicorp Credit Services, Inc. (USA)
and all other race representatives from any and
all claims for damage, demands, and causes of
action arising from or as a result of my
participation in the race. Participants under
18 years of age must have a parent or legal
guardian sign the application. Parent/Guardian
Signature Date
Name _______________________________ Address___
___________________________ ______________________
_______________ City ____________________
State ______ Zip Code ________
Email________________________________ Age on
Race Day ______ Gender M F Shirt Size
S M L XL XXL No Shirt
2Mark your calendars and start training for the
3rd Annual
5K Run
Date Saturday, October 17, 2009
More Exciting Details to come!
Proceeds to Benefit the