Boopa`s Family 5K/10K Fun Run/Walk

RACE WAIVER AND RELEASE
I understand that my consent to these
provisions is given in consideration of the
acceptance of this registration and for being
permitted to participate in Boopa’s Family
5K/10K Run/Walk on March 5th, 2011. I am a
voluntary participant in the race and in good
physical condition. I know the race is a
potentially hazardous activity and I hereby
assume full and complete responsibility for
any injury or accident, which may occur during
my participation in the race or while on the
premises of the event or Boopa’s Bagel Deli. I
hereby release and hold harmless and
covenant not to file suit against Boopa’s Bagel
Deli,
their
directors,
representatives,
volunteers, any affiliated individuals, any race
sponsors and their agents and employees or
volunteers, and all other persons or entities
associated with this event (the “releases”)
from any loss, liability or claims I may have
arising out of my participation in the race,
including personal injury or damage suffered
by me or others, whether same be caused by
falls, contact with participants, conditions of
the course, negligence of the releases or
otherwise. If I do not follow all the rules of the
race, I understand that I may be removed from
the competition. I give my full permission to
Boopa”s Bagel Deli sponsors or directors of
the 5K/10K Run/Walk, to use any
photographs, videotapes, audiotapes or other
recordings of me that are made during the
race. I understand that no pets are allowed. I
understand that this Waiver and Release may
be stored electronically and agree that a copy
is authentic and admissible as evidence in any
future dispute or proceeding.
Signature
Date
2010 Sponsors
Boopa’s Family
5K/10K
Fun Run/Walk
Saturday
March 5th, 2011
8:00am
Benefiting the
Summerfields
Animal Hospital
Sponsorship Opportunities Available
Please contact Holly Pils 817-232-4771
6513 N. Beach St. I Fort Worth, Texas 76137 I 817.232.4771
5K/10K
Run/Walk Awards
When & Where
Overall Male
Overall Female
Registration
5K/10K Run/Walk
Awards Ceremony
Overall Masters
50+Male/Female
Age Group Awards
(Top 3 in each group Male/Female)
under 14 • 15-19 • 20-24
25-29 • 30-34 • 35-39
40-44 • 45-49 • 50-54
55-59 • 60-64 • 65-69 & 70+
Registration
th
Saturday, March 5 , 2011
6:30 am
8:00 am
10:00 am
Boopa’s Bagel Deli
6513 N. Beach St.
Fort Worth, TX 76137
Course
Run starts and finishes in the Fossil Creek
Plaza parking lot.
Race is an out and back going south on Beach
St. traveling up Fossil Creek Blvd turning
around and heading down hill to the finish.
Registration includes a coupon for a
FREE Dozen Bagels!
Registration Fees
5K/10K Run/Walk
Race Management
www.itsabouttimerm.com
It's About TIME Race Management
uses the IPICO RFID (chip timing)
system for fast accurate results.
6513 N. Beach St. I Fort Worth, Texas 76137 I 817.232.4771
14 and under $10/person
Family Team 4+ $15/person
Before February 17th $18/person
February 18th -24th $20/person
FEB 25 - Race Day $25/person
Packet Pick Up
March 1st – March 4th
11:00am-2:00pm
All Fees Are Non-Refundable. Event held Rain or Shine
Register by mail, online or in person
Online Registration by March 1st 2011
www.boopasbageldeli.com
Mail in Registration by February 25th 2011
Boopa’s Bagel Deli
6513 N. Beach St.
Fort Worth, TX 76137
Complete this form and sign the waiver on
the back. (PLEASE PRINT)
______Family Team (4+ People)
______Child 14 and under
______5K Run/Walk
______10K Run/Walk
Total
T-Shirt Size: S M
L
XL
XXL
Team Name
Date of Birth
Age
Male _____Female
First Name
Last Name
Address
City___________State_____Zip
Phone
Email
Emergency Contact Phone Number
Proceeds will benefit the Down Syndrome Partnership of
Tarrant County (DSPTC) a 501c3