Run for Relief 2005

Kansas Mennonite Relief Sale
5K Run and Walk
Saturday, April 9, 2005, 8:00 AM
Rice Park, Hutchinson, KS

Choose One Payment Option:
  A. Entry Fee Amount enclosed $______ (Additional donations welcome)
                -- OR --
  B. I will raise money by getting my own sponsors.  Church Name:___________________________

Name:______________________________________   MALE   FEMALE   Age on 4/9/05:________

Street Address:__________________________________________________________

City:___________________________ State:____________ Zip:_________ Phone:__________

Select T-Shirt Size: Youth   S   M   L   or   Adult   S   M   L   XL   XXL

Waiver (Must be signed.):   I, intending to be legally bound, hereby for myself, my heirs, executors, administrators and assignes, waive and release any and all rights I may have against the Run for Relief Committee and any sponsors and officials, their agents, representatives, successors, or assigns, for any and all injuries, aliments or other consequences, suffered by me in the Run for Relief on April 9, 2005. In case of inclement weather, race will NOT be rescheduled.

Signature:______________________________________ Date:___________
(have parent sign if under 18)

(To get race results, send a SASE with entry or sign up at finish.)

Race/Walk Details: Course: 5K loop along bike path starting in Rice Park Parking: Rice Park entrance or Shelter House at 44 Swarens St. Check-in: 7:00 - 7:30 AM, Saturday at Rice Park Shelter House *Packet pick-up at KS Fairgrounds, Quilt Building, 5:30 - 8 PM, Friday night Start: 8:00 AM at Rice Park Shelter House, Saturday, April 9 Choice of Payment Options: A. Entry Fee: Entry fee must accompany entry blank; checks payable to Kansas Mennonite Relief Sale Pre-registration: $15 postmarked before March 31, 2005, includes T-shirt Late-registration: $18 race day or Friday night (4/8) registration - no shirt B. Sponsors: If you choose to raise $ by getting your own sponsors, have entry blank to Amy Schmidt by March 1, 2005 Divisions: male/female: 9 & under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Awards: Top 3 finishers in each age group plus top male/female overall; oldest & youngest participants; top sponsor amount collected; all participants receive a New Year's Cookie coupon and a ribbon.

  Walk or Run... For Relief!