here - Milford Miami Ministry
Transcription
here - Milford Miami Ministry
I will be participating by: Running Walking ________ Sleeping In Supporting MMM through my personal donation. Waiver: In consideration of the acceptance of my entry, I hereby waive on behalf of myself, my heirs, executors, and assigns, any and all claims of any nature arising from or due to my participation in the MMM Mary Miller Memorial 5K Walk/Run. I also hereby release Milford Miami Ministry, all sponsors, workers, officials, and volunteers from any and all claims arising from or due to my participation in this event. I agree to follow all the rules of participation and acknowledge that the race committee may refuse or return my entry at its discretion. I understand the risks for such a run or walk, and have trained and prepared adequately in preparation for this event. I HAVE NOTED ANY MEDICAL CONDITION ON THE BOTTOM OF THIS FORM. I permit the use of my name and picture participation in this event for publicity, for no additional consideration. I also understand that entry fees are non-refundable. ADDITIONAL DONATIONS For those who support MMM but do not wish to run or walk, consider collecting pledges from your friends and family. Use the form below to record your collections and join us on race day to turn in your pledges and join in the fun. Sponsor Name Amount Donated $ $ $ $ $ $ Signature: $ Date: $ Parent Signature (if under 18): $ $ Mail entry form with fee and/or donations to: Milford Miami Ministry c/o Jan Gerdom 11637 Chancery Lane Cincinnati, OH 45249 4th Annual MMM Mary Miller Memorial 5K Walk/Run I am not able to participate on race day but would like to make a donation to MMM: Donation Amount: $ THANK YOU FOR YOUR SUPPORT! Saturday, April 11, 2015 Miami Meadows Park 1546 State Route 131 Milford, OH MMM Mary Miller Memorial 5K Walk/ Run Your participation in this event helps Milford Miami Ministry (MMM) provide food and emergency financial assistance to families in need. Since 1996 MMM has provided help to families in Milford and Miami Township who reside within the Milford EVS District. Your registration will help continue this important ministry. We also honor the memory of Mary Miller who assisted so many families in the Milford area during her lifetime. The Mary Miller Fund was established in 1952 and many Milford students fondly recall donating pennies, nickels and dimes to support her work. Since Mary’s death in June, 2009 MMM is honored to continue her legacy by distributing funds collected through the Mary Miller Fund to those in need. All proceeds will benefit EVENT DETAILS ENTRY FORM Course. The 5K route will wind through beautiful Miami Meadows Park. Registration. Pre-registration is available by mailing your entry form and fee to Milford Miami Ministry, c/o Jan Gerdom, 11637 Chancery Lane, Cincinnati, OH 45249. Online registration is also available at GetMeRegistered.com/ MMM5K. Pre-registration fees are $25 for adults (ages 15+) and $10 for youth (ages 7-14). Teams of six or more can register together at a reduced price of $20. Youth included in team registrations will be at stated fees. Preregistration for adults and youth received by April 1 will include a t-shirt and while supplies last for those received April 1 and after. We hope children 6 and under will enjoy the event with their families at no cost. If you would prefer to “Sleep In” on race day, you can make a difference without leaving home. Your registration fee will support MMM and your t-shirt will be available for pick up, mailed or delivered to you. Race day registrations will be $30 for adults (ages 15+) and $15 for youth (ages 7-14) and will include a t-shirt while supplies last. Teams of six or more can register at a reduced price of $25. (Waiver on back must be signed) First Name: Last Name: Address: City: State: Zip: E-mail: Birthdate: Gender: M Emergency Contact Name: Emergency Contact Phone: MMM Church Affiliation (if applicable): Circle T-shirt Size: (circle size) Youth S M L Adult MMM MISSION STATEMENT Through the affirmation of our faith in Jesus Christ, we will act in love as the hands and feet of our Lord and Savior, seeking to provide service and support to members of our community in their time of need. Awards. The top 3 male and female adult and youth runners will receive prizes. Door Prize awards will be drawn from all participants. Complete race results will be available at MMMinistry.org. Questions. For more information e-mail [email protected] S M L XL XXL Fee Enclosed: $25 for ages 15+ Check-in and registration from 7:30 am to 8:30 am with the race start at 9:00 am rain or shine. Kids Fun Run. A free Fun Run for children 6 and under will be held at 10:15 a.m. Prizes will be given to all participants. F _________ $20 Group of 6+ registering together $10 for ages 7-14 Waiver must be signed on the reverse side of this form to complete registration. Mail registration fee and completed entry form to the address on the reverse side of this form. Please make all checks payable to Milford Miami Ministry