BUFFALO TRACE PARK - PALMYRA, INDIANA
(812) 364-6112
RACE PARTICIPATION AGREEMENT
I understand that my consent to these provisions is given in
consideration of the acceptance of this registration and for being
permitted to participate in this event.
I am a voluntary participant in this event and in good physical
condition. I know this night time event is a potentially hazardous
activity, and I hereby assume full and complete responsibility for any
injury or accident which may occur during my participation in this
event or while on the premises of this event. I hereby release and hold
harmless and covenant not to file suit against PAL WOW Family Fun
Festival, event organizers and sponsors, and property of the course for
any loss, liability or claims I may have arising out of my participation
in this event. This includes personal damage suffered by me or
others, whether same be caused by falls, contacts with participants,
conditions of course, negligence of the releases, or otherwise. If I do
not follow the rules of this event, I understand that I may be removed
from the competition.
I give my full permission to the PAL WOW Family Fun Festival to use
any photographs, videotapes, or other recording of me that are made
during the course of this event.
______________________________________________
Signature Date
______________________________________________
Signature of Legal Guardian if participant is under 18
OUR SPONSORS
Additional registration forms available at
Buffalo Trace Toll House and online at:
www.palwowfestival.com www.harrisoncoparks.com
www.pacersandracers.com www.nhcs.k12.in.us FriendsofBTP.org
PAL WOW
4 MILE
GLOW RUN AND WALK
FRIDAY, SEPTEMBER 16TH
STARTS AT 8:30 PM
3RD ANNUAL
Floyd Memorial
Medical Group-Palmyr
a
BUFFALO TRACE PARK - PALMYRA, INDIANA
(812) 364-6112
RACE PARTICIPATION AGREEMENT
I understand that my consent to these provisions is given in
consideration of the acceptance of this registration and for being
permitted to participate in this event.
I am a voluntary participant in this event and in good physical
condition. I know this night time event is a potentially hazardous
activity, and I hereby assume full and complete responsibility for any
injury or accident which may occur during my participation in this
event or while on the premises of this event. I hereby release and hold
harmless and covenant not to file suit against PAL WOW Family Fun
Festival, event organizers and sponsors, and property of the course for
any loss, liability or claims I may have arising out of my participation
in this event. This includes personal damage suffered by me or
others, whether same be caused by falls, contacts with participants,
conditions of course, negligence of the releases, or otherwise. If I do
not follow the rules of this event, I understand that I may be removed
from the competition.
I give my full permission to the PAL WOW Family Fun Festival to use
any photographs, videotapes, or other recording of me that are made
during the course of this event.
______________________________________________
Signature Date
______________________________________________
Signature of Legal Guardian if participant is under 18
OUR SPONSORS
Additional registration forms available at
Buffalo Trace Toll House and online at:
www.palwowfestival.com www.harrisoncoparks.com
www.pacersandracers.com www.nhcs.k12.in.us FriendsofBTP.org
PAL WOW
4 MILE
GLOW RUN AND WALK
FRIDAY, SEPTEMBER 16TH
STARTS AT 8:30 PM
3RD ANNUAL
Floyd Memorial
Medical Group-Palmyr
a
LOCATION and RACE TIME
Buffalo Trace Park
Petting Zoo
Palmyra, Indiana
REGISTRATION; STARTING TIMES & FEES
Race Day – 7:00 p.m. ........................................... 8:15 p.m.
4 Mile Race & Fun Walk ........................................ 8:30 p.m.
Glow Run Awards Program .................................. 9:30 p.m.
4 Mile Glow Run and/or Fun Walk
$20.00 before September 9, 2016
$25.00 after September 9, 2016
THE COURSE
The 4 Mile Glow Run Race is run over a flat course beginning
near the Buffalo Trace Petting Zoo. It winds through Buffalo
Trace Park, following the park’s walking/jogging trail three
times around the beautiful 30 acre lake, and ends at the Petting
Zoo. Walkers will only go around the lake trail once.
RACE SERVICES
• Each runner and walker will receive a Blinking Bracelet to
wear during the race to help light up the lake and their
course.
• Water station at end of the course.
REGISTRATION DETAILS
All pre-registered participants (before September 9th) will
receive a t-shirt to be picked up prior to the event at the race
finish line area on September 16th. Participants who register
AFTER September 9th, or on Race Day, will not be guaranteed
a shirt.
Note: Shirts will only be available while supplies last.
AGE GROUPS (MALE & FEMALE) and AWARDS
4 Mile Glow Run – Overall male and female winners will
receive a plaque and a $50 gift certificate to Pacers and Racers.
Plaques will be presented to the top male and female winners
in each age group. The top male and female overall winners
are not eligible for the age group awards.
A Door Prize Drawing will follow the race at 9:30 p.m. All
runners and walkers are eligible for this drawing, but must be
present to win.
RACE PROCEEDS & RACE INFORMATION
All proceeds go to the PAL WOW Family Fun Festival and the
North Harrison elementary and middle school cross country
teams.
Make checks payable to: PAL WOW Family Fun Festival
Mail entry forms to: Jerry/Juanita Love
14350 Huff Street, N.E.
Palmyra, IN 47164
For additional race information, please call:
Jerry/Juanita Love
(812) 364-6122
RACE RESULTS
Pacers & Racers Walking & Running Store
3602 Northgate Ct., Ste. 19
New Albany, IN 47150
(812) 948-7865
www.pacersandracers.com
REGISTRATION
Name ______________________________________
Address _____________________________________
City ______________________ State ____ Zip _______
Phone ______________________________________
Age (on race day) _______________ Gender __________
Email ______________________________________
PAYMENT
Before September 9th - $20.00
After September 9th - $25.00
1.3 Mile Fun Walk
4 Mile Glow Run
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
PLEASE READ AND SIGN WAIVER ON BACK
Under 10
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 & Over
EVENT
SHIRT SIZE
LOCATION and RACE TIME
Buffalo Trace Park
Petting Zoo
Palmyra, Indiana
REGISTRATION; STARTING TIMES & FEES
Race Day – 7:00 p.m. ........................................... 8:15 p.m.
4 Mile Race & Fun Walk ........................................ 8:30 p.m.
Glow Run Awards Program .................................. 9:30 p.m.
4 Mile Glow Run and/or Fun Walk
$20.00 before September 9, 2016
$25.00 after September 9, 2016
THE COURSE
The 4 Mile Glow Run Race is run over a flat course beginning
near the Buffalo Trace Petting Zoo. It winds through Buffalo
Trace Park, following the park’s walking/jogging trail three
times around the beautiful 30 acre lake, and ends at the Petting
Zoo. Walkers will only go around the lake trail once.
RACE SERVICES
• Each runner and walker will receive a Blinking Bracelet to
wear during the race to help light up the lake and their
course.
• Water station at end of the course.
REGISTRATION DETAILS
All pre-registered participants (before September 9th) will
receive a t-shirt to be picked up prior to the event at the race
finish line area on September 16th. Participants who register
AFTER September 9th, or on Race Day, will not be guaranteed
a shirt.
Note: Shirts will only be available while supplies last.
AGE GROUPS (MALE & FEMALE) and AWARDS
4 Mile Glow Run – Overall male and female winners will
receive a plaque and a $50 gift certificate to Pacers and Racers.
Plaques will be presented to the top male and female winners
in each age group. The top male and female overall winners
are not eligible for the age group awards.
A Door Prize Drawing will follow the race at 9:30 p.m. All
runners and walkers are eligible for this drawing, but must be
present to win.
RACE PROCEEDS & RACE INFORMATION
All proceeds go to the PAL WOW Family Fun Festival and the
North Harrison elementary and middle school cross country
teams.
Make checks payable to: PAL WOW Family Fun Festival
Mail entry forms to: Jerry/Juanita Love
14350 Huff Street, N.E.
Palmyra, IN 47164
For additional race information, please call:
Jerry/Juanita Love
(812) 364-6122
RACE RESULTS
Pacers & Racers Walking & Running Store
3602 Northgate Ct., Ste. 19
New Albany, IN 47150
(812) 948-7865
www.pacersandracers.com
REGISTRATION
Name ______________________________________
Address _____________________________________
City ______________________ State ____ Zip _______
Phone ______________________________________
Age (on race day) _______________ Gender __________
Email ______________________________________
PAYMENT
Before September 9th - $20.00
After September 9th - $25.00
1.3 Mile Fun Walk
4 Mile Glow Run
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
PLEASE READ AND SIGN WAIVER ON BACK
Under 10
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 & Over
EVENT
SHIRT SIZE
