Professional Documents
Culture Documents
Romulus Bulldogs 5k Charity Run Walk Registration 5-3-14
Romulus Bulldogs 5k Charity Run Walk Registration 5-3-14
RACEDATE:
Saturday,May3,2014
RunnersandWalkersarewelcometoparticipate
TIME: RaceDayRegistration7:308:30A.M.atROMULUSMIDDLESCHOOLTRACK
5KRaceBeginsPromptlyat9:00A.M.
LOCATION:ROMULUSCOMMUNITYSCHOOLSTRACK,37300WickRd.,Romulus,MI48174
PRERACEPACKETPICKUP:
7:308:30onthetrack
ENTRYFEE:(checkspayabletoRomulusMiddleSchoolorcashaccepted)MailToRomulusMiddleSchool
FUNDSRAISEDWILLHELPTHEROMULUSAMINALSHELTERANDSTUDENTSINNEEDATRMS
Adults$20.00beforeApril25,2014
Students$15.00beforeApril25,2014
$20.00afterApril25,2014anddayofrace
$25.00afterApril25,2014anddayofrace
TSHIRTS:
2014RomulusBulldog5kCharityRunTshirtsguaranteedtoallpreregistrants(May1st)
AWARDS:Medalswillbepresentedtothetoptwointhedivisions
QUESTIONSPLEASECONTACT:
AnthonyHolyszkoat7345321761oradholyszko@romulus.k12.mi.us
KelleeKubanyat7345321762orkmkubany@romulus.k12.mi.us
Name:______________________________________________________________________________
Address:____________________________________________________________________________
Sex(checkone)____M____FAge:___________
PhoneNumber:______________________________emailaddress:__________________________
Circleoneshirtsize:Youth:ML
Adult:SMLXLXXL
AsaparticipantintheRomulusBulldog5kCharityRunon05/10/14,Iknowthatrunningisapotentiallyhazardousactivity.Ishouldnot
entermyselformychildorhavehim/herrunthiseventunlesstheyaremedicallyableandproperlytrained.Iagreetoabidebyanydecision
ofaraceofficialrelativetotheirabilitytosafelycompletetherun.Iassumeallrisksassociatedwithrunninginthisraceformychild
including,butnotlimitedto,falls,contactwithotherparticipants,insectbites,theeffectsofweather,includinghighheatand/orhumidity,
theconditionsofthecourseandtrafficonthecourse,allsuchrisksbeingknownandappreciatedbymeformychild.
Havingreadthiswaiverandknowingthesefacts,andinconsiderationofyouracceptanceofmyapplication,I,formyselfandanyone
entitledtoactonmybehalf,waiveandreleasetheRomulusBulldog5kCharityRun,andallsponsors,organizers,andvolunteersofthis
event;theirrepresentativesandsuccessorsfromallclaimsorliabilitiesofanykindarisingoutofmyparticipationinthiseventeventhough
thatliabilitymayariseoutofnegligenceorcarelessnessonthepartofthepersonsnamedinthiswaiver.Allfeesarenonrefundable.Igive
permissiontotheRomulusBulldog5kCharityRuntoreproduceprintsanddisplayinallprintandelectronicformat,anyphotographsofme
oranyoneImaybringtotheevent.IunderstandthatthesepictureswillbeutilizedtopromotetheprogramsandactivitiesoftheRomulus
Bulldog5kCharityRun.
APPLICATIONSFORMINORSAREACCEPTEDONLYWITHAPARENT/GUARDIANSIGNATURE
______________________________________
_________________________
(SIGNATUREOFPARTICIPANT)
(DATE)
__________________________________________
_________________________
(SIGNATUREOFPARENT/GUARDIAN)
(DATE)
*IFUNDER18YEARSOFAGE
OFFICIALUSEONLY:REGISTRATIONFEE:$_______DATE:______RACENUMBER:______________