PROMAGEDDON (Costume) 5K Fun Run/Walk

Bring your family & friends to come join in the fun!-Grab an old prom dress, tie &/or vest, create your own prom themed running attire! Challenge your friends, parents, teachers and neighbors to be the most creative team- op runners in age divisions below will receive awards & pri!es will also be awarded for costume themed attire"

#arch $%, &'$( )egistration begins *+,' -# -t the .illiamsburg /igh 0chool1)ace begins 2 3 -#

Age Divisions: 10 and Under Fees: 11-14 Entry Fee Is $25 TheAfte P om Pa t! "#ll ha$e f esh 15-19 All ro!its !ro" t#e %ake& 'oo&s an& & #nks a$a#la%le fo 20-29 ra$e %ill go to t#e f ee "#ll &onat#on %efo e( &u #n' an& 30-39 &illia"s'(rg A!ter Mail Completed Registration Form and afte Payment to:unn#n' PROMAGEDDON 2909 V A en!e" Parnell #o$a %2&2% the e$ent) 40-49 )ro" )arty* 50+ Parti'ipant(s Name
Address City" *tate" +ip P,one . Age on Ra'e Day ))))))))))))))))))))))))))))))) P,one Cell P,one . )))))))))))) Gender: )))))))))))))) Relations,ip to Parti'ipant: )))))))))))))) . ))))))))))))))))))))))))))))))

Emergen'y Conta't: )))))))))))))))))))))))))))))

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2 -shirt not guaranteed after ',/',/$(

Please Read and *ign 7ai er 8elo$: # !nderstand t,at r!nning and5or $al9ing are stren!o!s and potentially dangero!s a'ti ities: # am ;!lly a$are o; and ass!me all ris9s asso'iated $it, t,is e ent in'l!ding <!t not limited to: great p,ysi'al stress" ;alls" 'onta't $it, ot,er r!nners" spe'tators or o<sta'les" ad erse $eat,er and road 'onditions" and t,e presen'e o; e,i'!lar tra;;i' on t,e ra'e 'o!rse: # ;!lly ass!me responsi<ility ;or my o$n sa;ety $,ile parti'ipating in t,is e ent and eri;y t,at # am p,ysi'ally a<le to 'ompete: 6a ing read t,is $a ier" # agree to RE3EA*E ;rom 3#A8#3#/=" #NDEMN#F= and 6O3D 6ARM3E** /,e A;ter Prom Party Committee" City o; 7illiams<!rg" 7illiams<!rg Comm!nity *',ools" and all ra'e sponsors" o;;i'ials" representati es and anyone asso'iated $it, t,e Promageddon F!n R!n57al9" ;or any and all lia<ility ;or any in>!ry or damages $,atsoe er in'!rred <y me and anyone a''ompanying me" -in'l!ding minors # am responsi<le ;or d!ring t,is e ent." res!lting ;rom any parti'ipation in t,is e ent: # 'onsent to t,e !se o; p,otograp,s" ideo and5or inter ie$ in;ormation o; me or o; my ',ild: # a!t,ori1e medi'al treatment deemed ad isa<le <y any li'ensed ,ealt, 'are pro ider to relie e any in>!ries or illness $,ile a parti'ipant or o<ser er: # !nderstand t,at no a''ident or medi'al ins!ran'e ;or parti'ipants is pro ided and t,at t,at # am ;inan'ially responsi<le ;or ',arges to t,e attending p,ysi'ians or ,ealt, 'are !nit: # a'9no$ledge t,at t,e entry ;ee is nonre;!nda<le and nontrans;era<le: # 'erti;y t,at # ,a e read t,is do'!ment and agree $it, its 'ontents: *ignat!re ? Date: ))))))))))))))))))))))))))))))))))))))))))))))) *ignat!re o; Parent5G!ardian -i; !nder @A.: )))))))))))))))))))))))))))))))))))))))