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9th Annual Columbia Station Half Marathon & Inline Skate
Presented by TBA
Sunday, June 29, 2014
 
8:00 a.m. Race Time
7:00 a.m. Registration
 
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This race will be held in conjunction with other Columbia Homecoming Festival events.
The festivities will be held on June 27, June 28, and June 29.
Racers and spectators are encouraged to attend all weekend festivities - admission is FREE!
Check out the Schedule of Events at the
Columbia Station Chamber of Commerce Web site.
 
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* PRE-REGISTER WITH FORM BELOW *  
The Location:
Copopa Elementary School
14168 W. River Rd., Columbia Station, OH
 
Copopa School  
Click here for map of area surrounding Columbia Station  
The Course:
A Half Marathon Run or a Half Marathon Inline Skate

Course Map
 
The Facilities:
Plenty of parking spaces available in the school parking lot
Restroom facilities available
 
The Features:
T-shirts available for the first 100 entries
Post-race refreshments
 
The Awards:
Presented to top male and top female overall
and top 3 males, and top 3 females in each age division
Raffle prizes!
 
The Sponsors:
We couldn't do it without them!

Check 'em out!
 
PRE-REGISTRATION ENTRY FORM
I am a QuickCharge member:
Yes      No
I am enrolling with this purchase.
QuickCharge program explained here.
All pre-registration fees must be RECEIVED by June 25, 2014.
IF YOU DO NOT RECEIVE AN ENTRY CONFIRMATION BY E-MAIL WITHIN 24 HOURS,
PLEASE CALL NCN RACING AT 440-366-0645 TO NOTIFY THE RACE DIRECTOR.
Race Name:  JUNE 29TH COLUMBIA STATION HALF MARATHON RUN & INLINE SKATE
RACER INFORMATION
Name
Street Address
City
State
Zip/Postal Code
E-mail Address
Phone Number (nnn-nnn-nnnn)
Date of Birth (mm/dd/yyyy)
Age on June 29, 2014
Gender

EVENT INFORMATION
Event you would like to enter 
Division in which you will compete

PRE-REGISTRATION FEES - Payable by June 25, 2014 -  Select One Below
Half Marathon
  The pre-registration fee for the Half Marathon is $50.00 US.
  The pre-registration fee for the Half Marathon with no T-shirt is $47.00 US.
  (The day-of registration fee for the Half Marathon with no T-shirt is $60.00 US.)
Half Marathon Inline Skate
The pre-registration fee for the Half Marathon Inline Skate is $50.00 US.
The pre-registration fee for the Half Marathon Inline Skate with no T-shirt is $47.00 US.
(The day-of registration fee is $60.00 US.)
T-SHIRT INFORMATION
PLEASE NOTE: The "No-Shirt" option is available for pre-registration ONLY. Day-of entrants will get a price reduction for not receiving a shirt, but they will pay a slightly higher fee to race.
T-shirts guaranteed ONLY for first 100 entries!
T-Shirt Size (or "No Shirt" option in drop-down list)
PAYMENT METHOD
How do you wish to pay for your entry?
If you are mailing in a check, please make it payable to NCN Racing.
If you are redeeming a gift certificate, please type in the certificate # here.  
Please note: All rain check balances are stored in our database, and will be applied accordingly, but if you need to know your balance, please e-mail Rick, or call him at (440)366-0645.
If you intend to pay by gift certificate, volunteer voucher, or call in your credit card or checking information, you have completed this form. Please skip to the WAIVER section. If you wish to use our secure server for your credit card or checking transaction, please fill in the following fields, then click on the SUBMIT button.
PAYMENT INFORMATION
1.  Credit Card
Name (as it appears on card) 
Billing Address: Street
Billing Address: City
Billing Address: State
Billing Address: Zip/Postal Code
Credit Card Number      (no hyphens)
Expiration Date (nn/nnnn)
Card Verification Value   (3-digit number on back of card)
2.  Checking Account
Bank Name:
Routing Number:
Account Number:
WAIVER
Please read, then check "agree" or "disagree" (required field) below to complete this form.
In consideration of NCN Racing, and all sponsors, permitting (me) or (my child) who is under 18 to participate in the above named event, I hereby and for (me) or (my child’s) heirs, executors, administrators, and/or assigns, waive and release any and all rights and claims of any nature that (I) or (my child) may have against NCN Racing, all sponsors, and their officers, employees, agents, executors, administrators, successors, and/or assigns for and against any and all injuries or damages of any nature which (I) or (my child) may suffer while taking part in any activities connected with this event. The release and consent shall be binding upon (my) or (my child’s) heirs, executors, administrators and/or assigns.
Agree to waiver: I agree I do not agree
 
 
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Page last modified: Tuesday, 25-Mar-2014 16:38:39 EDT  
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