Ryans Run 2013 Presented by

Saratoga Springs Teachers Association Visit www.areep.com to register online. Other donations can be made at www.curemiop.org. What: Ryans Run 2013 When:
Saturday, May 11th 2013 at 9 AM

Where: Saratoga Spa State Park WARMING HUT

Support research for MIOP Malignant Infantile Osteopetrosis Professional chip timing Dri-fit shirts for first 150 paid registrants Great raffle items A fun family event Race day registration from 7:45-8:45 AM $25 registration fee before May 1st $30 after May 1st or day of registration

____________________________________________________________________________________
Ryans Run/Walk Registration mail-in registration form Name ____________________________ Address __________________________ City/State/Zip _____________________________ Phone _________________________ E-Mail __________________________ Male or Female (circle) DOB __/__/____ Age _______________ Amount enclosed $ ___________ Please make checks payable to: Ryan Wersten MIOP Foundation Send all registration forms to: Ryan's Run c/o AREEP
Waiver and Release of All Claims

Signed waiver necessary for registration.

Ryans Run 5K run/walk I know that running and/or walking a road race is a potentially hazardous activity. I should not enter the run or walk unless I am medically able and properly trained. As a participant, I recognize and acknowledge there are certain risks associated with this event, including, but not limited to falls, contact with other participants, and the effect of weather including high heat and/or humidity, traffic, and the condition of the course. I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain as a result of participating in the race. I agree to waive and relinquish all claims I may have as a result of participating in the race against the race organizers, The Ryan Wersten MIOP Foundation and ARE Event Productions. I do hereby fully release and discharge the Ryans Run organizers from any and all claims from injuries, including death, damage or loss which I may have or which may occur to me on account of my participation in this race. A signed waiver is necessary for registration. ___________________________________________________ (signature of participant) ___________________________________________________ (print name) _________________________________________________ (guardian or parent signature if under 18) __________________________________________________ (date)

PO Box 38195 Albany, NY 12203 T-shirt size: shirts given to first 150 paid registrants
(size subject to availability)

___S

___M ___L

___XL___XXL

____My child (12 and under) will be participating in Kids Fun Run. # of children running___________