Saturday March 22, 2014

7:45 - 8:45 am Race Day Registration

9:00 am - 5k Start

Madison Park, Lakewood 13200 Madison Ave., Lakewood, Ohio

Registration Fees

Pre-registration $20.00 by March 20

Race Day Registration: $25.00 Post Race Party

Post Race Brunch & Drink Specials @ Brew 133

13368 Madison Ave. Lakewood

online registration Register online at peaceracing.com until 9 am on

Thursday, March 20th, 2014

mail-In entries must be POST MARKED by

Wednesday, March 18th, 2014. Peace Racing

PO Box 771298

Lakewood, Ohio 44107

All checks payable to: Peace Racing, LLC

pre-race packet pick up Thurs, March 19 & Fri, March 20 from 6:00 - 7:30 pm

Brew 133 13368 Madison Ave Lakewood

awards and Age Group Divisions Awards for the 5k will be presented to the top male and

female runner overall and top 3 in each category: 5k: 10 &

Under, 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44,

45-49, 50-55, 55-59, 60 +

THE FIRST THE FIRST THE FIRST THE FIRST 300300300300 PRE PRE PRE PRE----REGISTERED REGISTERED REGISTERED REGISTERED RUNNERSRUNNERSRUNNERSRUNNERS RECEIVE A HIGH QUALITY RECEIVE A HIGH QUALITY RECEIVE A HIGH QUALITY RECEIVE A HIGH QUALITY RACERACERACERACE SHIRT! SHIRT! SHIRT! SHIRT!

Saturday March 22, 2014

Madison Park Lakewood, Ohio

3rd Annual Lakewood Irish ‘‘Jig & Jog’’ 5k - Supporting Lakewood H2O Name: _________________________________________________________ Age: _____________ Male Female (circle) Address: _______________________________________________________________ Division: □ 5K ($20) City: _________________________________________________ State: _________ Zip: _________________________ T-shirt size (circle one): XXL XL Large Medium Small Youth Large Wings/Veggie & Chicken Quesadilla/Chips Buffet ____ $9.00 Two Tall Draft Tickets _____$10.00 Buffet & Drinks _____ $18.00 Draft selection includes Miller Light, Dogfish IPA, Sam Adams, Dortmunder Gold

*Must be 21 years of age to redeem drink tickets PLEASE READ CAREFULLY BEFORE SIGNING: In consideration of your accepting entry, I hereby, for myself, my heirs, executers and administrators, waive and release any and all claims for damages I may

have against Brew 133, Peace Racing, City of Lakewood, Lakewood H2O, the event sponsors, their representatives, successors and assigns for any and all injuries

suffered by me in said event and in transit to and from event. I further attest that I am physically fit and sufficiently prepared for this event. I will additionally

permit the use of my name and/or pictures in Brew 133 and/or Peace Racing and publications.

___________________________________________________ ________________________ Participant signature Date ___________________________________________________ ________________________

Parent/Guardian signature (for all participants under 18) Date

Usher in the opening weekend of March Madness with a 5K run to support Lakewood H2O. CHIP TIMING! POST RACE REFRESHMENTS, MUSIC, POST RACE PARTY & BASKETBALL!

All entries are non-refundable. Return bottom portion of entry form with check and keep top for your records and event information