Sylacauga City Schools Foundation/SAFE’s 20th Anniversary Run

Saturday, October 28, 2017 | Legion Stadium
Celebrate Sylacauga City Schools Foundation and 20 years of SAFE working together to
improve the education and support of our students and their families by participating in a 5K
or One-Mile Fun Run! Proceeds benefit SCS Foundation and SAFE.
All participants are encouraged to wear Halloween costumes and tutus!

Name: _________________________________________ Schedule of Events
Age: __________________ Female Male 7:00 a.m. — Race Day Registration
7:30 a.m. — Warm-up
Address: _______________________________________
8:00 a.m. — 5K Run begins (see map)
City: ___________________ State: _____ Zip: _________ 9:00 a.m. — One-mile Fun Run begins (track)
Phone: _________________________________________ 9:30 a.m. — Awards Ceremony
Music, Food, Entertainment (8:00-9:30)
Email: _________________________________________

October 6 or before After October 6 Student Checks made payable to:
(T-shirt included) (T-shirt included) (T-shirt not included)
SCS Foundation
5K Run 5K Run 5K Run
$25 $35 $5
Form and check mailed to:
One-Mile One-Mile One-Mile
Fun Run Fun Run Fun Run 43 North Broadway
$20 $25 $5
Circle shirt size below Circle shirt size below Shirt purchased separately, Sylacauga, AL 35150
add $15 and circle size below

CIRCLE SHIRT SIZE -- *add $2.00 for XXL
Online registration:
Adult Sizes: S M L XL *XXL scsfoundation.weebly.com
WAIVER MUST BE DATED/SIGNED BELOW:
I know running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to
abide by any decision of a race official relative to my ability to safely complete the run. I assume all risk associated with running in this event
including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and
road conditions, all such risk being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of
your acceptance of my entry, I for myself and anyone entitled to act on my behalf, waive and release the City of Sylacauga, the Sylacauga City
Schools, the Sylacauga City Schools Foundation, all sponsors, their representatives and successors from all claims of liabilities of any kind
arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or
any other record of this event for any legitimate purpose.

___________________________________________________________ ____________________
SIGNATURE (Parent or Guardian Signature if under 18 years old) DATE
The Sylacauga City Schools Foundation and SAFE are a 501c(3) recognized by the I.R.S. and all donations are tax deductible.