Run for Relief 2011

Kansas Mennonite Relief Sale
5K Run and Walk
Saturday, April 9, 2011, 8:00 AM
Rice Park, Hutchinson, KS


ENTRY FORM AND WAIVER (Please print and return by March 25, 2011)
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 $______ ($15 by 3/25; $20 after. Additional donations welcome)
                -- OR --
  B. I will raise money by getting my own sponsors.  Church Name:___________________________

Name:______________________________________   MALE   FEMALE   Age on 4/9/11:_______

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 9, 2011. In case of inclement weather, race will NOT be rescheduled.

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

Results will be sent to you via email.



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: Entry fee must accompany entry blank; checks payable to Kansas Mennonite Relief Sale
Pre-registration: $15 postmarked by March 25, 2011, includes T-shirt
Late-registration: $20 thereafter. 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. 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.
NEW!NEW THIS YEAR!!!! Raise $250+ and receive a FREE hooded sweatshirt with RFR logo!NEW!
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 & youngest participants; top sponsor $ amount collected; all participants receive ribbon.
Proceeds: Mennonite Central Committe world relief, development, & service projects

For additional information, contact:

Angie Teeter
620-327-4434
Connie Kaufman
620-345-2425
Kevin Nickel
620-747-0029
Amy Schmidt
316-283-2791

E-Mail Contact: theteeterfamily@cox.net

Join in the fun and help those in need...
Be a part of the 2011 Run for Relief!
            Walk, Jon, 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!