Saturday, March 22, 2014 -- Jane Lew, WV
3rd Annual St. Patricks School 5K Run/Walk & Kids Fun Run
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RACE CONTACT: Jonelle M. Swiger (phone) 304-884-8065 or (email) Jonelle@ckspipeline.com
Checks Payable to: St. Patrick School ... Mail to: St. Patrick School, 224 Center Ave., Weston, WV 26452
$15.00 (5K or 1/2 Mile) if registered by March 11th, $20.00 day of race.
Children are welcome to run the 5K in addition to the fun run at no additional cost. Please mark which races they are interested in running, so we can have the proper race bibs available. T-shirt guaranteed to pre-registered runners. A very limited quantity will be available race day.
Approximate Schedule
- Race Day Registration, 8:00-9:00 am
- 5K Race starts at 9:30 am
- 1/2 Mile Kids Run starts immediately following the 5K (aprox. 10:45)
- Awards Ceremony following 1/2 Mile Kids Run.
Please Select all that apply: ____ 5K (open to all ages for walk or run) // ____ 1/2 Mile Kids Fun Run (6th Grade and younger)
Name: _____________________________________________________________________________
Address: __________________________________________________________________________
___________________________________________________________________________________
Phone: (________________)___________________________________________
Date of Birth ____/____/__________ Age on 3/22/14: _______ Gender: ____Male or ____Female
Shirt Size: ____Child(6-8) // Adult Sizes: ____S/____M/ ____L/ ____XL/ ____XXL
WAIVER: In consideration of St. Patrick School's allowance of my participation in this event, I agree to the extent permitted by law, to release, waive, forever discharge, and covenant not to sue St. Patrick School, its governing board, officers, agents, employees, and any students acting as employees, from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of actions, costs, and expenses of any nature which I may have or which may thereafter accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by me or by any property belonging to me, in connection with my participation, due to my own negligence or from incidents not specifically attributed to the negligence of St. Patrick School, its employees, and officials or agents of any and all of the foregoing. I understand that my participation is voluntary and I recognize that there are risks and hazards inherent in my participation to myself and to others, and I assume all responsibility and risk associated with my participation.
I have read and understand the contents and the consequences stated in this notification.
___________________________________________________________________________________
Signature
*(Parent/Guardian must sign if participant is under 18 years of age.)