Dothan Police Dept./Dothan Runners Club

        Fifth Annual Trot with S.W.A.T.

      10K and 5K Run/Walk

Saturday, September 17, 2011 8:00 a.m. CDT

Downtown – Dothan, Alabama

REGISTRATION:

6:30 – 7:45 a.m. – Poplar Head Park  - (Adjacent to Dothan Civic Center Parking Lot- 126 N. St. Andrews St.)

ENTRY FEE:

Mailed by 912: 10K-$20 5K-$15    Race Day: 10K-$25 5K -$20 (Includes T-shirt).                                                                                                                 (Pre-register to reserve your correct size race day.)

5K and 10K AWARDS:

Awards to - Overall Male & Female, first Male & Female Masters (40+),                                                                      Grandmasters (50+),Senior Grandmasters (60+) & top 3 in the following  age groups: 0-14,15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-up. Race walking awards to the top 3 Male & Female walkers.

(Those who plan to jog and walk should register as runners. No bicycles, skates, or dogs are allowed on the course during the race.)

AWARDS CEREMONY & POST RACE CELEBRATION

Poplar Head Park-Complimentary food and beverages will be provided.

Proceeds to be used for Dothan Police SWAT unit training, equipment and events.

Register online at www.active.com or complete the form below

“Trot with S.W.A.T” - 10k Run/Walk

Registration & Waiver Form
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to, falls; contact with other participants; the effects of weather, including high heat and/or humidity; traffic; and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Dothan Runners Club, the City of Dothan, and all race sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the 2011 “Trot with S.W.A.T” – 10K and 5K Run/Walk

Name______________________________________   Sex: ¨ M ¨ F          Age: (on 9/17/11)______________

Address____________________________________    City, State &Zip­________________________________

Phone#_____________________   E-Mail__________________________ Date of Birth__________________

Select One: ¨ 5K ¨ 10k                    ¨ Run ¨ Walk                                   T-Shirt Size ¨ S ¨ M ¨ L ¨ XL          Signature _______________________________________________             Date_____________

            (Parent or guardian must sign if entrant is under 18 years of age)

Make checks payable to: Dothan Police S. R.T. Fund

Mail to: Dothan Police Dept.  -Attn: Brian Goguen  210 N. St. Andrews -  Dothan, AL 36303

No entry accepted without required fee. No refunds.  All entries must be signed.

For more information call Carol Goguen (334) 794-9029 or cgoguen@sw.rr.com