
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 THIS YEAR!!!! Raise $250+ and receive a FREE hooded sweatshirt with RFR logo! |
| 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!
|