2016 Fund Run Brochure - Drive for the Cure Foundation

2016 Fund Run Registration Form
Each member of a family or corporate team must
complete a separate registration form. Make cheques
payable to Ridge Meadows Hospital (RMH) Foundation.
Gender:  M  F Age on event day: ____________________
Please select an event:
 5k  10k  Kids Run
Last Name: _____________________________________________________
First Name: _____________________________________________________
For more information or to volunteer,
please call Laura Butler at 604.466.6958.
nd Run
At the 13th Annual Fu
Address: ________________________________________________________
City: _____________________________________________________________
Province: ________________ Postal Code: ______________________
Thank you to our 2016 Sponsors!
Telephone: ____________________________________________________
Team Name: ___________________________________________________
Presenting Sponsor
Total pledges collected: $ ___________________________________
Fees
If registering before May 20
Individual
Family (4+ people per family), each
Corporate (5+ people per team), each
 $30
 $25
 $25
If registering after May 20
Individual
Family (4+ people per family), each
Corporate (5+ people per team), each
 $35
 $30
 $30
Gold Sponsors
Kids Run (For kids 10 years and under)
My child is registered for the Fund Run above,
and is also participating in the Kids Run
 Free
My child is participating in the Kids Run only
 $5
Silver Sponsors
Discounted Registration Fees
BC Athletic Member No. __________________  $3 off
Total Fees Enclosed:
Sunday, June 5, 2016
$ _________
5K Walk/Run • 10K Run • Kids Run
Athlete’s Waiver
Ridge Meadows Hospital Foundation, its directors, officers, employees, agents,
volunteers, and sponsors (together called the “Organizers”). In consideration of
the Organizers permitting me to participate in this event, I for myself, my heirs and
my personal representatives, hereby fully release the Organizers from all liability
for any loss, damage or expense which I or my next-of-kin may suffer or incur at
time due to any cause whatsoever including any negligence, omission or breach
of contract on the part of the Organizers in connection with this event, and I hereby
waive all future claims which I may have for such loss, damage or expense arising
out of my participation in this event. I authorize event organizers to use my photo or
likeness for promotional purposes.
Presented by Marv Jones Honda
Media Sponsor
Running Sponsor
All proceeds to
Signature of Athlete: ________________________________
(Parent or legal guardian signature required if athlete is under 19 years of age)
Date: ____________________________________________
Timing chips provided by Sports Stats
Medals sponsored by Ramak’s Gifts and Awards
rmhfoundation
Help us raise funds for
Ridge Meadows Hospital…
join our fundraising team!
Date, Time, and Location
Race Package Pick Up
Sunday, June 5, 2016 at 9:00am
Fairview Elementary School
12209–206th Street, Maple Ridge
Saturday, June 4
10:00am to 2:00pm at The Running Room
505–20395 Lougheed Highway, Maple Ridge
About the Courses
Sunday, June 5 (Run Day)
7:30am to 8:30am at Fairview Elementary
To ensure the safety of all participants, we ask that you
please leave your bikes and pets at home.
Age Divisions
Pledging Options
Both the 5k and 10k routes are flat and comfortable
and travel through the peaceful surrounding
neighbourhoods. Both routes start and finish at
Fairview Elementary.
First place male and female awards in each age division
in both the 5km and 10km events.
In Person
You can raise pledges in person using the enclosed
pledging form.
The Kids Run is a fun and quick race for the youngsters,
right on the school grounds. Everyone is a winner and
will receive a prize. Perfect for kids 10 and under!
About the Foundation
How to Register
Registrations not accepted after 8:30am on Run Day
Register by Mail
Ridge Meadows Hospital Foundation
Box 5000, 11666 Laity Street
Maple Ridge, BC V2X 7G5
Register In Person
At any Lower Mainland Running Room location
Register Online
Online entry is available at either runningroom.com
or raceroster.com until May 29, 2016. Volunteers can
register at raceroster.com.
Male and Female Divisions
15U, 16–19, 20–29, 30–39, 40–49, 50–59, 60+
Ridge Meadows Hospital Foundation is dedicated
to supporting the best in health and is committed
to investing in better health through community
partnerships. This year, RMH Foundation has
committed to raise over $700,000 to provide health
care equipment, fund new programs in the community
that encourage healthy living, and provide education
opportunities for our medical staff.
For more information about the Foundation and how
your donations make a difference please visit our
website at rmhfoundation.com. To discuss additional
ways you can help your hospital, please call Laura Butler
at 604.466.6958.
Together we are changing lives and saving lives.
For every $100 you collect in pledges, we’ll
add your name to the grand prize draw. The
more you collect, the more chances you have
to win the amazing grand prize package!
Online
Set up your own online fundraising campaign at
www.rmhfoundation.com. Add photos, share your
page with family and friends, and track your fundraising
progress. All transactions are secure so it’s easy for your
friends and family to support your efforts online.
Connect With Us!
Would you like to sign up to receive our
‘From The Heart’ e-newsletter?
rmhfoundation
 Yes  No
Email: ___________________________________________________________