8th Annual 5K Fun Run 8th Annual 5K Fun Run Saturday, april 26th

Benevolent Missions International
registration
8th Annual 5K Fun Run
–––– 2014 ––––
In consideration of your permitting me, my child, ward or heir to participate in
any programs or events pertaining to the BMI 5K RUN/WALK and Kid’s 1K, I, the
undersigned, or if under the age of 18, my parent or guardian, INTENDING TO
BE LEGALLY BOUND HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND
CLAIMS FOR DAMAGES, WHETHER BASED UPON NEGLIGENCE OR ANY OTHER
THEORY OF LAW, which I, my child, ward or heir and our parents, guardians,
heirs, executors, representatives, administrators, and assigns may have against
Benevolent Missions International, Children of the World, any participating
sponsors, any affiliates or subsidiaries, officers, directors, shareholders,
agents and employees associated with said corporations and associations, the
municipalities or counties in or through which programs or events take place or
are conducted, as well as any other person, entity of sponsor connected to such
programs or events, and their heirs, executors, representatives, administrators,
successors, assigns, subsidiaries, officers, directors, shareholders, employees
and agents, FOR ANY AND ALL INJURIES OR DAMAGES WHICH I, MY CHILD, WARD
OR HEIR MAY SUFFER while taking part in such program events or as a result
thereof. Specifically, I verify that I, ormy child, ward or heir is in good physical
health and able to participate in and/or complete the following event.
Signature: ____________________________________
(Required of all participants. Participants under 18 require parent or
guardian signature. One entry form per participant. Please print.)
Name:_______________________________________
Address: _____________________________________
City:___________________ State: _____ Zip: ________
All net proceeds to benefit
Benevolent Missions International
Phone:_______________________________________
E-Mail: ______________________________________
Participating in: o 5K o 1 Mile
T-SHIRT SIZE: (Circle One)
Adult: S M L XL Kids: S M
REGISTER 3 WAYS:
1. Packet Pickup or Race Day Registration. Cash, check, or
credit cards.
2. Online. www.eyemissions.com/funrun
3. Mail. (No refunds.) Complete form, make checks payable to
Benevolent Missions International and mail to:
BMI Fun Run
3007 Woodlands Hills Drive, Suite 169
Kingwood, TX 77339
Benevolent Missions International
3007 Woodlands Hills Drive, Suite 169
Kingwood, Texas 77339-1403
Age: _________ Sex: o M o F
Saturday,
April 26th, 2014
at
333 N. Rivershire Dr.
Conroe, TX 77304
The BMI Fun Run is designed for
all ages and fitness levels!
FAMILY FRIENDLY “HERO” DASH
Event INFO
Sponsors
BMI’s 8th Annual 5K Run/Walk is in the scenic
Rivershire subdivision located in Conroe, TX.
Grand Patron————————————————
The Fun Run is a family-friendly Hero Dash and
is open to all levels of runners and walkers!
Patron————————————————————
The Fun Run is the main fundraising event for BMI,
a non-profit, tax-exempt, and publicly supported
organization whose mission is to provide pro bono
medical and surgical ophthalmic care to underserved
areas of the world.
The Hero Dash is the race you’ve been waiting
for! Now is the time to get your cape cleaned &
pressed! No longer will your tights sit unused and
passed over in your sock drawer! Dress to impress
and you could win our costume contest!!
Platinum Sponsors—————————————
The medical and lay volunteers of BMI have built
clinics and surgery centers in Haiti, Belize, El Salvador,
and Bolivia. BMI has also sent medical and surgical
teams to American Samoa, Burundi, and Fiji.
1 Mile Hero Dash for Kids/Family
ABOUT Benevolent Missions International
The BMI teams have treated more than 100,000
patients and have performed more than 25,000
surgeries each year. In order to continue our
medical programs around the world, we need your
financial support.
Sponsorship for the BMI Run is tax deductible. The
levels of sponsorship are Grand Patron $5000, Patron
$2000, Platinum $1000, Gold $500, and Silver
$250. We hope that you will strongly consider being a
sponsor in such an important endeavor.
Kindly send all checks to: BMI, 3007 Woodland Hills
Drive, Suite 169, Kingwood, TX 77339 and please
make a notation on the check that the donation is for
the BMI Run.
Event Features
Race entry includes a technical running shirt for
5K participants, a t-shirt for 1 mile participants,
post-race festivities, and post-race refreshments.
Also featuring:
• Awards Following 5K
• Costume Contest
• Bouncy House
(Noncompetitive)
• 8:00 am
• Participants are encouraged to dress as their
favorite super hero! All finishers receive medals.
• Fees (after 4/15/14, prices increase $5):
Ages 12 & under. . . . . . . . . . . . . . $10
Ages 13 & over. . . . . . . . . . . . . . . $15
Family of 4. . . . . . . . . . . . . . . . . . $30
5K Run/Walk
• 8:30 am
• Includes chip timing
• Fees (after 4/15/14, prices increase $5):
Individual. . . . . . . . . . . . . . . . . . . $30
Family of 4. . . . . . . . . . . . . . . . . . $90
Registration and Race Details
www.eyemissions.com/funrun
Questions
Brian Jackson, Race Director
[email protected]
For more information regarding packet pick
up, course map, and chip timing, visit
www.eyemissions.com/funrun.
Race Founder: Dr. Bill Phelan
Dr. Tip & Ellen McKnight
Center for Sight of Northwest Florida, P.A.
Rosann Hooks
Dr. Bill Banks
Dr. Mitchell Weikert
David & Virginia Walker
Drs. Ruben & Marilyn Lemos
Dave & Kathy Boeckman
Dr. Michael & Jenny Lambert
Downey & Edna Price
B.T. & Robin Williamson
Wilson Architectural Group
David & Nancy Webb
Paul & Kathy Mann
Lacy Koonce
Retina & Vitreous of Texas
Woodforest Bank in Conroe
gold Sponsors————————————————
Eric Scott & Family
Dr. Ralph Cooley
Dr. Sherif & Elaine Khalil
Dr. David Reeves
Dr. Aaron Miller
Dr. Barry & Ellen Neeland
Cashner Funeral Home
Metcalf Funeral Directors
Don Buckalew
Buckalew Chevrolet
Bobby & JoAnn Yancey
Conroe Concrete
James Ullrich
Dr. James Clark
N.W. Oral & Maxillofacial Surgery
Richard Canady
silver Sponsors———————————————
Dr. Mark Vital
Foster & Margaret Madeley
Jitesh & Mira Patel
Dr. & Mrs. Nathan Price
Stanley Craig
Dr. Lee Fox
Dr. Richard Ruckman
Dr. Jim Herrin
Herrin Pediatric Clinic
Jim & Susie Pokorski
Dr. Jerry and Linda Herrington
Mack Barnhill
State Farm Insurance
Dr. Andy Watkins
Walt & Susan Fish
Drs. Andy Lee & Hilary Beaver
Dr. Jeff & Susan Arnoult
Albert & Diane Madeley
Ash Pirwani / eNet Systems
Roger Mitchell
Mark & Susan Jenkins
Steeplechase Pediatric Center
Dr. Douglas Koch
Drs. Louis Verstringhe &
Carolyn Chen
T Miller Financial
Sponsors——————————————————
Jim Tomforde
Drs. Victor Chang & Elaine Thung
Dr. Gerald & Carol Sheldon
Upstream Brokers