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NAMI Southwest Pennsylvania/Torrance
State Hospital Mental Health Month
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Mental Health Month Activities May 2005
NAMI
SWPA and Torrance State Hospital 5K Run for Mental Health, May 14th,
2005
25th ANNUAL RUN FOR MENTAL HEALTH
5K RUN AND 5K FUN WALK
SATURDAY, MAY 14, 2005 AT 10:00 AM
TORRANCE STATE HOSPITAL, TORRANCE, PA.
REGISTRATION INFORMATION
Registration from 8 AM to 9:45 AM on race day
All fees non-refundable Rain or shine; no deferred date
5K Runners 5K Walkers
Registration before 4/29/05 Registration
With T-shirt- $14.00 With T-shirt- $11.00
Without T-shirt- $6.00 Without T-shirt- $3.00
Registration after 4/29/05 Family/Consumer Groups-
With T-shirt- $15.00 Without T-shirt- $6.00
Without T-shirt- $7.00 T-shirt only- $8.00
* T-shirt guaranteed only to entries registered by 4/29/05. Some
may be available race day.
* Free beverage/fruit to all entrants
* Walkers and runners eligible for random door prizes
* On course splits, water stop and aid station
* Participant ribbons for all walkers
RUNNER AWARDS
MEN (no duplications) WOMEN (no duplications)
Top 3 overall Top 3 overall
Top 3 in each age group: Top 3 in each age group:
13 & under; 14-18; 19-24; 25-29; 13 & under; 14-18; 19-26;
30-34; 35-39; 40-44; 45-49; 50-54; 27-34; 35-42; 43-49; 50-59;
55-59; 60-65 and 66 & above and 60 & above
Computer Finish Line Service by Butchko (Times and results will
be mailed to all runners who provide addresses)
________________________________________________________________________
Make Checks Payable to: RUN FOR MENTAL HEALTH
Mail to: Volunteer Office, Torrance State Hospital, Box 111, Torrance,
Pa. 15779
For further information call: 724-459-4424 or e-mail: gpalek@state.pa.us
NAME________________________________________________DOB ______________
FULL ADDRESS________________________________________PHONE____________
________________________________________
AGE ON RACE DAY___________ SEX _____
SHIRT SIZES (Circle One) Medium Large XL XXL
WAIVER: My signature on this entry releases all sponsors or individuals
of any and all liability, which may result from this event. I also
grant permission to the organizers to use any photographs taken
of me in legitimate accounts and promotions for this event.
SIGNATURE________________________________________ DATE______________
(PARENT OR GUARDIAN SIGNATURE IF UNDER 18 YEARS OF AGE REQUIRED)
CIRCLE ONE: 5K RUN 5K WALK
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