Run for Relief 2006

Kansas Mennonite Relief Sale
5K Run and Walk
Saturday, April 8, 2006, 8:00 AM
Rice Park, Hutchinson, KS


ENTRY FORM AND WAIVER (Please print.)
Mail Entry Form and Fee to: Heather Martens, 6613 N. Worthington Rd., Buhler 67522

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 4/8/06:________

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 8, 2006. 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.)



Return the top portion, keep the bottom portion or a copy for your information

Race/Walk Details:

Course: 5K loop along bike path starting in Rice Park and following Cow Creek
Parking: Rice Park entrance or Shelter House at 44 Swarens St.
Check-in: 7:00 - 7:30 AM, Saturday at Rice Park Shelter House, OR
5:30 - 8 PM, Friday night KS Fairgrounds, Quilt Building
Start: 8:00 AM at Rice Park Shelter House, Saturday, April 8
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 29, 2006, includes T-shirt
Late-registration: $18 race day or Friday night (4/7) registration - no shirt
B. Sponsors: If you choose to raise $ by getting your own sponsors, send in your entry blank with that option marked. Also print and fill out the sponsor sheet and bring to check-in with the money you collect. Pick up t-shirt at check-in.
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 ribbon.

For additional information, contact:

Amy Schmidt
622 E. 2nd St.
Newton, KS 67114
316-283-2791
Allen Sebes
601 W. 30th
Hutchinson, KS 67502
620-664-5759
Heather Martens
6613 N. Worthington Rd.
Buhler, KS 67522
620-543-6565
Joy Yoder
108 Willow Lane
Hesston, KS 67062
620-327-4562

E-Mail Contact: mailto:mattamy2249@sbcglobal.net

  Walk or Run... For Relief!