Run for Relief 2013
Kansas Mennonite Relief Sale
5K Run and Walk
Saturday, April 13, 2013, 8:00 AM
Rice Park, Hutchinson, KS
ENTRY FORM AND WAIVER (Please print
and return by March 29, 2013)
Mail Entry Form and Fee to: Angie Teeter, 510 Rosewood, Hesston, KS 67062
[Also available, the Acrobat Reader PDF version]
Choose One Payment Option:
A. Entry Fee Amount enclosed $______ ($20 by 3/29; $25 after. Additional donations welcome)
-- OR --
B. I will raise money by getting my own sponsors. Church Name:___________________________
Name:______________________________________ MALE FEMALE Age on 4/13/13:_______
Street Address:__________________________________________________________
City:__________________________ State:___________ Zip:________ Email:____________________
Select T-Shirt Size: Youth S M L or Adult S M L XL XXL Phone:________________
Waiver (Must be signed.): I, intending to be legally bound, hereby
for myself, my heirs, executors, administrators and assigns, 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 13, 2013. In case of inclement
weather, race will NOT be rescheduled.
Signature:______________________________________ Date:___________
Parent Signature if under 18:______________________________________ Date:___________
(Register EARLY - race capped at 375!
Results will be sent to you via email if provided above.)
Return the top portion, keep the bottom portion or a copy for your information
Race Information: |  |
| Course: | 5k out & back course along paved bike path starting in Rice Park and following Cow Creek |
| Parking: | Rice Park entrance or Shelter House at 44 Swarens St. |
| Check-in: | 5:00 - 8:00 PM, Friday night at KS Fairgrounds, Quilt Building (Meadowlark), OR
7:00 - 7:30 AM, Saturday at Rice Park Shelter House |
| Start: | 8:00 AM at Rice Park Shelter House, Saturday morning |
| Choice of Payment Options: |
| A. Entry Fee: | Make checks payable to
Kansas Mennonite Relief Sale
Pre-registration: $20 postmarked by March 29, 2013, includes T-shirt
Late-registration: $25 after 3/29. T-shirt not guaranteed |
| B. Sponsors: | If you choose to raise $ by getting your own sponsors,
send in your entry blank with that option marked by 3/29/13. Also
print and fill out the sponsor sheet
and bring the money you collected to turn in when you check-in for the race.
Pick up T-shirt at check-in. |
| *** Raise $250+ and receive a FREE hooded sweatshirt! GRAND prize to top $$ raised. *** |
| Divisions: | male/female: 9 & under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ |
| Awards: | Top male/female overall;
top 3 finishers in each age group;
oldest participant;
top fundraiser. |
| Proceeds: | Mennonite Central Committe world relief, development, & service projects |
|
| Join in the fun and help those in need... |
 |
Be a part of the 2013 Run for Relief! |
| Walk, Jog, Run - for all ages and abilities! |
|
"Go the extra mile" Challenge:
Invite others to sponsor your run
to raise even more for those in need!
|