By Air, By Rail Area Festival 5K – July 19 at 7:00 a.m.

This event is sponsored by the Fortville Optimist Club and all proceeds will benefit the Fortville Optimist Club and its programs.

Race will begin and end at the Mt. Vernon High School Parking Lot (on 200W).

This is NOT a competitive event. Children, strollers and pets are welcome. All proceeds will benefit the Fortville Optimist Club.

Entry Form   (Separate entry form is needed for each family member regardless of age)

Name:___________________________________  Age on 7-19-2008:______r Male r Female
Street:_______________________________________________________________________
City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________

T-shirt (short sleeve) Size:

r Small r Medium r Large r X-Large

Additional t-shirts available for $15

Fees:
Pre-registered before July 1, 2008 - $25.00*
After July 1, 2008 and Day of Event - 35.00*

Children 2 and under are free.
CHECKS ARE PAYABLE TO:  Fortville Optimist Club

Mail completed entry form and entry fee, by July 15, to: 
By Air By Rail Festival, c/o The Fortville Optimist Club, P.O. Box 302, Fortville, IN 46040

Registration and ticket pick up: 6:00 a.m.—6:45 a.m.

Event begins 7:00 a.m.

EVENT PARTICIPATION AGREEMENT:
In consideration of the foregoing, I, for myself, my heirs, executors and administrators, waive and release any and all
rights and claims for damages I may have against any of the sponsors, organizers, Town of Fortville, Town of McCordsville
and The Fortville Optimist Club, for any and all claims of damages, demands or loss actions whatsoever which may arise as a
result of my participation in this event. I understand and acknowledge that participating in this event may
expose me to dangers from both known and anticipated risks. I attest and verify that I am physically fit and have
sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical
doctor. Further, I grant full permission to any and all of the foregoing to use my likeness for any legitimate purpose whatsoever
Signature_______________________________________________ Date __________________
Parent’s or Guardian’s Signature if under age 18__________________________________________ Date ______________
Incomplete/unsigned entries will not be accepted. - Entry form can be copied.