3 Days- 60 miles- 1 Reason: Everyone Deserves a

Lifetime

Team 3 D (Doing the Distance for our Daughters)

our first COLOR RUN.

will be having

Please come out to support a great cause and help us end breast cancer
while having tons of fun and getting splattered with paint!
Net proceeds benefit Susan G Komen 3-Day for the Cure

When: June 20th 2015

Where: Fleetwood Area School District/ High School
Start time:

10:00 am/ please report to the registration area in the front of the high
school upon arrival.

Price: Child: $20.00

Single Adult Rate: $30.00 and Family Rate: 4 or more $95.00

A Late Registration fee will apply on any forms received after May 30th: those rates
are as follows:
Child: $25.00

Single Adult Rate: $35.00

and Family Rate: 4 or more: $100.00

On June 19th from 5:00 pm till 8:00 pm please make sure to pick up your Color Run
packets at the Kutztown Park: 440 East Main Street Kutztown Pa. 19530: please report to the
upper end of the park
For questions regarding the Color Run please call/email Gwynn Bollinger at 610-442-7838
or gwynnbollinger@yahoo.com
To register please mail the payment and coupon to Betty Adam (Checks payable to Betty
Adam) 9716 Crescent Lane Breiningsville, Pa. 18031

Name:

Chil
d:

Adul
t:

Family/4 or more: List

each participants name

Amoun
t:

Waiver Signature

1.
2.
3.
4.
5.
6.
Total Amount:
Waiver: In consideration of being permitted to participate in this event. I hereby for myself, my heirs, and personal
representatives assume any and all risks which might be associated with the event and I further waive, release, and
discharge and covenant not to sue sponsors, officials, contributors, organizers, volunteers and beneficiaries or their

successors and assignees for any and all injuries or damages of any kind whatsoever suffered by me as a result of
taking part in the event/or any related activities.: Parent signature required if under 18 years of age