4TH

ANNUAL

RUNWALK

SPREAD THE WORD!We cordially invite you to participate in the 4th Annual Bark in the Park 5K to help continue to support the Cross Keys Community Park-Dog Park Project. This event will raise needed resources to help fund on going projects in our dog park facility. Cross Keys Community Park is a local, non-profit organization with a goal to positively impact the community by creating recreational, environmental and educational opportunities. The event will begin at 8:30AM with prizes given for top qualifiers in each age group. Dog owners can register their pets to participate, as well.Plan on staying after the race for the Dog

Park Dedication.

RACE START TIME: 8:30 AMAT CROSS KEYS COMMUNITY PARK785 BERLIN ROAD, NEW OXFORD, PARACE DAY REGISTRATION BEGINS AT 7:30 AM

www.ckpark.org/5k

MAY 20TH2017

For More Info or to Register Online

Registration on reverse side

-SATURDAY-

REGISTRATION FEE:$20 Individual ($25 late registration, day of race)

or $25 Individual plus 1 dog$10 Cat Nappers-Park Samaritan Non-Participant Club

OurFourthYear!

Dog ParkDedication

ImmediatelyFollowingthe Race

4TH

ANNUAL

RUNWALK

Registration FormName: _______________________________________________________

E-Mail Address: ______________________________________________

Phone Number: _______________________________________________

Address: _____________________________________________________

City: __________________________ State: _______ Zip: _____________

Runner’s Sex (circle one): Male Female Age on Race Day: ______

Registration Fees (check one below): Amount Paid: $ __________ $20 Individual (Late Registration: $25 after May 6, 2017) $25 Individual plus 1 dog $10 Cat Nappers-Park Samaritan Non-Participant Club (Includes Free T Shirt)

T-shirt size (circle one): Adult S M L XL Child S M L I decline a T-shirt (Please allow my full race registration to go to Cross Keys Community Park)

Prizes will be awarded to 1st and 2nd place male and female finishers in each age group. Age groups are as follows: 12 and under, 13-18 yrs., 19-29 yrs., 30-39 yrs., 40-49 yrs., 50-59 yrs., 60+. Every participating dog receives a Park logo tennis ball toy and treat at the finish line.

Race Route: The Bark in the Park 5K will be an all-road course that starts and finishes at Cross Keys Community Park (785 Berlin Rd, New Oxford, PA). Mile markers, signs and volunteers will guide racers.

Please list any allergies: _____________________________________________________________________________________________

Please list any health concerns or conditions: __________________________________________________________________________

Please check to indicate understanding: Liability Waiver and Photo Release: In consideration of acceptance of this entry to the Bark in the Park 5K Race, I waive all claims for myself, heirs, and assigns against the sponsors, cooperating groups, and/or any individual associated with the event, and will hold them harmless of any and all injuries or illnesses that may result from my participation. I further state that I am in proper physical condition to participate in this event. I also hereby give my permission to use my name and/or photo in any media coverage without obligation to compensate me.

Race Rules:• Participants must stay on the race course• Registration Fee is Non-Refundable• Bib Number must be placed on the FRONT of your shirt• All participants MUST be in line by 8:20 am• Walkers, children, participants with dogs will begin behind runners• Participants must follow instructions of course officials/volunteers• Only registered runners/walkers are permitted to participate

Signature: _____________________________________________________________________________ Date: ___________________

* Please make checks payable to Cross Keys Community Park and send this form and registration fee to Cross Keys Community Park, Attn: Brita Byers, 785 Berlin Rd, New Oxford, PA 17350. Questions or concerns may be directed to Brita Byers or Tracy Miller at 717.624.8660. Pre-race registration is DUE BY May 6, 2017 to be guaranteed a t-shirt. Race day registration will be $25 for all applicants, registration opens at 7:30am and closes at 8:15am. Late and Race day registrants are not guaranteed a t-shirt.

• MP3, iPod and other music devices are strongly discouraged• Prizes will be announced immediately after the completion of race• All dogs must be leashed (no flex leashes)• No aggressive dogs• 1 dog per participant• Must present proof of vaccination upon registration• Must clean after your own pet

SATURDAY, MAY 20, 2017at Cross Keys Community Park, New Oxford, PA

RACE START TIME: 8:30 AMREGISTRATION BEGINS AT 7:30 AMDog Park Dedication Immediately Following the Race