The Polar Express 5K

Transcription

The Polar Express 5K
 The Polar Express 5K
Date: December 14, 2014
Time: Noon Registration at the Holmes County Trail,
Race at 1pm
Pre-registration by December 7th, then all events
increase $5
$25 for 14+
13 & under $15
$50 for a family of 3-5 people, $10 more for each extra
runner
The Polar Express 5K includes: - An ugly sweater contest
- Hot chocolate
- Cookies
- T-shirts
- Christmas carols by the West Holmes Chamber Choir
- Santa!
Come run, wear holiday apparel, and support
West Holmes Softball!
West Holmes Softball 1st Annual Polar Express 5K Sunday, December 14, 2014 – 2 pm Holmes County Rails to Trails 62 N. Grant St. Millersburg, OH 44654 Hipp Station Depot on the trail Registration Form Full Name: __________________________________________________________________ Gender: Male / Female (circle one) Age: (on race day) ______ Activity: Running / Walking (circle one) Mailing Address: ___________________________________________________________ City: _____________________________ State: __________________ Zip: __________ Phone: (_____)____________________ Email:___________________________________ Shirt Size: (CIRCLE ONE) S M L XL 2XL EVENT INFORMATION: The West Holmes Lady Knights Softball Team is hosting the 1st Annual Polar Express 5K on Sunday, December 14, 2014. Proceeds from the event will go to support equipment and field upgrades, registrations, and other fees associated with the softball program ages (8‐18). The race will take you along the Holmes County Trail and will feature carolers, Christmas cookies, hot chocolate, a camp fire, and festive apparel by workers and racers! Prizes will go to individuals who are wearing the most festive/creative attire to the race. There will be race awards for age groups and teams. Each participant will receive a free tee shirt, snacks, and beverages, before during, and after the race. PARKING: Parking will be free at the trail lot or along the streets in Millersburg. PAYMENT: Cash or Check made payable to: West Holmes Softball 10909 SR 39 Millersburg, OH 44654 RACE FEE: Early registration through December 7 $25 14 and older, $15 13 and under, $50 family of 3‐5, $10 for each additional family member, Add $5 per area after December 7 (race shirts limited) EVENT DISCLAIMER: Please review the following waiver and disclaimer. By adding your signature, you accept this waiver and disclaimer for yourself or minors in your supervision. Waiver and Release: By participating in this event, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property. I consent to medical treatment in the event of injury, accident and/or illness during the Event. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge the organizers of this event, its principals, its officers & directors, its employees, all sponsors and their representatives and employees from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that I have carefully read this ‘Waiver and Release’ and fully understand that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all event sponsors for their negligence, including, but not limited to West Holmes High School, West Holmes Softball, the Holmes County Park District, and the Holmes County Rails to Trails Coalition. I am voluntarily participating in the event and I shall obey all rules and practice courtesy and safety on the trail. I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the Event without compensation. I Agree to the terms of this disclaimer. Signature of participant: _________________________ Signature of adult if under 18: _________________________