Central Valley PTA Council’s

Come and support our Central Valley HEART In Hand Outreach, which supports our CV School District’s students and
families that find themselves in temporary or transitional housing. Our Outreach has helped families obtain permanent
housing, propane for heat, Christmas gifts and helped to distribute Thanksgiving Dinners to over 60 of our District
Families, just to name a few things. Go to www.cvptacouncil.org for more information about this great Outreach that is
making a difference in our community. TOGETHER We ARE Making a DIFFERENCE!
When: Saturday, April 10, 2010 @ 9:00 a.m.
Registration & pick-up begins at 8:00 a.m. Major Event Sponsors:
Where: University High School, 12420 E 32nd Ave,
Spokane Valley, WA 99216. Park in EAST
Parking Lot – Check In @ Concessions next to
Track Field
Course: 5K fairly flat around U-HI neighborhood
NO bikes, skateboards, scooters.
Awards: Awards for all age-groups following the Run.
Door Prizes: Drawing– for registered runners only.
Sign up: Register online at www.cvptacouncil.org or
download registration & return entry form to CV
PTA Council @ PO BOX 1481, Spokane Valley,
WA 99206, or to Mountain West Bank on Pines &
Mission.
Questions: Call Rondielle Frye @ 701-1912 rondielle@yahoo.com, or
MJ Bolt @ 995-8107 bmjbolt@comcast.net
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1st Annual CV PTA Council’s 5K HEART Run Registration Form 2010
Circle Preference: Runner – Walker - Stroller
I WOULD LIKE TO
Name: ________________________________ Age (on 4/10/2010): ______ Sex: _____ DONATE AN ADDITIONAL
$_____________ TO
Address: ______________________________ E-mail address: ____________________ THE CENTRAL VALLEY
PTA COUNCIL FOR THE
City: _______________________ State: _________ Zip Code: _____________
HEART IN HAND
Home Phone: ___________________Work or Cell Phone: _________________ OUTREACH

T-shirt size (circle one): Youth S M L Adult S M L XL **Adult 2XL 3XL 4XL **(add $2 for 2XL-4XL)
Entry Fee: $12 18 & older (due on or before March31) $15 Late registration fee (after March 31) $8 for 17 & under
Divisions: 11 & under, 12-15, 16-19, 20-39, 40-59, 60 & up Also, Walking Division & Stroller Division
*Late registrants cannot be guaranteed to receive a 2010 HEART Run T-shirt on race day - so enter early!
I hereby certify that I am adequately fit to participate in this event. In consideration of the acceptance of this entry, I, the undersigned, for myself, my
personal representative, beneficiaries, and heirs, knowingly waive, release, and discharge any and all rights and claims which I have or may have
hereafter accrue to me or my estate against the CV PTA Council, Kohl’s, SNAP Fitness, Mountain West Bank and/or any other sponsors, organizers,
volunteers and assigns for any and all injuries or death suffered by me in this event. I will also allow my picture and name to be used in publications as a
result of this race.
Signature: _________________________________________________________ Date: ________________
Parent or Guardian Signature:__________________________________________________________________ Date: __________________
(A parent or legal guardian must sign for all participants under the age of 18.)