6 Annual BOO RUN October 17 , 2014

6th Annual BOO RUN
October 17th, 2014
WHAT: BOO RUN 5K
WHEN: October 17, 2014
Race will start at 5:30 pm
All students must have a guardian at the Boo Run at all times!
PACKET PICK UP: Thursday, October 16th 4:00 – 6:00 pm at Mary Orr Gym
WHERE: The race will start and end in Rose Park.
Sponsored by: Mary Orr Intermediate School – Physical Education Department
ENTRY FEE:
$20.00 (September 15th – October 3rd)
No Walk up Registration on Day of Race
Price Includes – t-shirt, food, water and a screaming great time!
NAME: _______________________________________ AGE: _______
GENDER: M F
(PRINT – First and Last )
PHONE # _____________________________
E-mail Address: ______________________
SHIRT SIZE
ADULT:
S
M
L
YOUTH:
S
M
L
XL
2XL 3XL (ADD $2.00 for 2XL – 3XL)
Method of Payment: CASH or CHECK
Make Checks Payable to:
Mary Orr
WAIVER: by signing below, I know that running or walking a road race is a potentially dangerous activity. I should not enter and
participate unless I am medically able and properly trained. I agree to abide by any decision of any race official relative to my ability
to safely complete the run or walk. I assume all risks associated with running or walking this event including, but not limited to: falls,
contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, and the conditions of the road,
all such risks being known and appreciated by me. Having read this waiver, and knowing these facts and in consideration of your
accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the City of Mansfield, the Boo Run and
all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event
even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.
_________________________________________________________________
Signature (parent or guardian if under 18)
DATE:____________________________