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2014 ROMULUS BULLDOG 5K CHARITY RUN

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:______________

SPONSORED BY ROMULUS MIDDLE SCHOOLS WELLNESS TEAM

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