docDocument 6578819
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Document 6578819
Make A Difference Day 5K RUN/WALK RUN FOR A REASON! Saturday, October 25, 2014 at 9:00 am At Shore Middle School in Mentor, OH RegistraAon begins at 7:30 am Help us to MAKE A DIFFERENCE for SHORE PTSA and St. Bede’s Food Pantry. ENTRY FEE (by October 15th): $20 (15 & over) $15 (14 & under) ENTRY FEE (aUer October 15th): $25 (15 & over) $20 (14 & under) All parVcipants and spectators are encouraged to bring non-‐perishable food and/or monetary donaVons. Join the fun! Flat course & strollers welcome. Event happens rain or shine. PACKET PICK-‐UP ON OCTOBER 24th from 11:00 am-‐7:00 pm at Second Sole, Mentor (non-‐perishable food donaVons also accepted during packet pick-‐up—every can counts!) RACE TIMING AND RESULTS PROVIDED BY GREATER CLEVELANDXC Go to greaterclevelandxc.com for easy online registra5on Divisions: Men/Women 14 & under, 15-‐19, 20-‐25, 26-‐30, 31-‐35, 36-‐40, 41-‐45, 46-‐50, 51-‐59, 60+ -‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐ Please complete and return this porVon along with payment NAME _______________________________ AGE (day of race) _____ M/F (circle one) ADDRESS ____________________________ CITY ___________________ STATE ____ ZIP ________ PHONE ______________________________ EMAIL _________________ SHIRT SIZE (ADULT S-‐XL) ____ ENTRY FEE $20 (15 & over) by October 15th $15 (14 & under) by October 15th $25 (15 & over) aUer October 15th $20 (14 & under) aUer October 15th Waiver (MUST BE SIGNED) In consideraVon of your accepVng this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may have against the race, and sponsors and their representaVves, successors and assigns for any and all injuries suffered by me in said event . I alest that I will parVcipate in this event as a footrace, that I am physically fit and sufficiently trained for the compleVon of this event. Furthermore, I hereby grant full permission to use by name and likeliness, as well as any photographs and any record of this event in which I may appear for any legiVmate purpose, including adverVsing and promoVon. Signature ________________________________ Parent (if under 18) ___________________________ Please pay by CASH or CHECK (payable to SHORE PTSA) or check out easy online registra5on at greaterclevelandxc.com Send registraVon and payment to: SHORE PTSA; 5670 Hopkins Road; Mentor OH 44060 Contact: Betsy Oddo ([email protected]) Make A Difference Day 5K 2014 RUN FOR GOOD!
