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Syble Hopp School Dash For A Splash 2016 Registration Form
Syble Hopp School Dash For A Splash 2016 Registration Form
The 13th Annual Syble Hopp School Dash for a Splash 5K Run/Walk is sponsored by the Syble Hopp Parent Organization.
Syble Hopp School serves cognitively disabled students ages 3-21 in Brown County. A portion of the funds will be used to
purchase adaptive pool equipment so that our students can enjoy the maximum therapeutic benefits of our warm water pool.
SCHEDULE OF EVENTS
7:30 - 8:30 a.m.
9:00 a.m.
10:30 a.m.
LMC
Lynn meshke
AWARD CATEGORIES
LLC
awarded to the top 3 male and female finishers in each age group.
communications
#RunLikeAngels
ENTRY FEES
August 5- Sept. 3
Individual
$17
$25
Family *
$50
$60
ADDITIONAL REQUESTS
REGISTRATION
below and mail with a check. Make checks payable to Syble Hopp
School and mail to Syble Hopp School (Dash for a Splash), 755
The Dash for Splash takes place at Syble Hopp School, 755
QUESTIONS?
Scheuring Road east 1 mile, Syble Hopp School will be on the right.
with questions. Like Syble Hopp School Dash for a Splash 5K Run/Walk
Stadium, entering via the West gate across from the school.
Male Female
Name:
(If registering as a family, please provide name, age on race day, and gender for each participant on the back of this form.)
Address:
Zip:
Number of each:
City:
Phone:
Email:
State:
___M
___L
___S
___ M
___ L
*** Registrations received prior to August 5 will receive a t-shirt. After August 5, t-shirts are not guaranteed. ***
Number in each run/walk division:
___9-11
___12-15
___16-19
___20-29
___30-39
___40-49
___50-59
___60+
In consideration for your acceptance of this entry, I hereby release, discharge from liability and agree to hold harmless, Syble Hopp School, Brown County, City of
De Pere and all sponsors from any claims for damages that may happen to me while participating in this event. This hold harmless agreement shall be binding on
my heirs, personal representives or assignees. I also agree that my image may be used for promotional purposes without notice. I attest I have read, fully understand
and accept the aforementioned terms of participation.
Signatures (all persons under age 18 must have parent/guardians signature prior to participating)