Zombie Run Registration Form

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Zombie Run MMXIII Too Scared To Run? Want to participate but can’t make it, or too scared to make it? Register as a Too Scared To Run participant, and feel free to stay home on Race Day! We’ll still get you a shirt and you can avoid the Zombie Apocalypse! What, Where, When: 5K Run/Walk Saturday, November 2, 2013 Registration - 4:00 pm, Start -5:00 pm Registration at SMHS parking lot 601 E. Lasley, St. Marys, KS Course to be determined by location of Zombies! Awards: Awards will be presented to the top three male and female runners that have finished the race uninfected.Explanation of Event: All uninfected individuals shall report to the St. Marys High School parking lot located at 601 E. Lasley in St. Marys, KS. at 1600 hours. All persons should be prepared to begin running in the event of an attack! All runners will be equipped with two flag football flags. The goal of the race is to complete with both flags intact. Those finishing with one will be classified as “infected.” Those finishing without any flags will be classified as “zombies.ZOMBIE RUN 2013 Please read and sign waiver: WAIVER: In consideration of your accepting my entry, I, the undersigned intending to legally bind myself and my heirs, executors, administrators, next of kin, and assignees, do hereby waive any and all rights and claims against any person or organization affiliated with this race. I agree to indemnify and hold harmless the committee of Zombie Run 2013, the officials, the race organizers, and any and all sponsors from any claims, actions, damages, liability and expenses includ ing attorney’s fees, on account of injury to my person or property or resulting in my death with I am competing, observing or participating in any way in this event, including travel to and from the race. I further attest that I am physically fit and have been sufficiently trained for the race that I am entering and that my physical condition has been verified by a licensed medical doctor. _______________________________________________ _____________________________________________ ________ Signature Parent Signature If Participant is Under 18 Year of Age Date Make Checks Payable to: Mail To: Avon Walk for Breast Cancer Amy Lett 105 E Lasley St. Marys KS, 66536 Official Use YS YM YL S M L XL 2X 3X Last Name First Name Male Female Age on race day Address City State Zip Code Entry Fees (Please circle and total) Pre-Registration by 10/25 5K $35.00 T-Shirt (extra) $15.00 Too scared to run! $25.00 Donation to cause $______ TOTAL: $______ Where Does Your Money Go? "The more of us who walk, the more of us survive" is the motto of the Avon Walk for Breast Cancer events. In May, the Biswell Battling Babes (BBB) will travel to Washington, D.C. Over the course of the two day event, the BBB will walk a marathon and a half (39 miles) in their battle against breast cancer! Help make a difference, donate in support of the team today! Members of Biswell’s Battling Babes are: Julie Biswell (cancer survivor), Marcy Sandberg, Amy Lett, & Bre nda Sommars. Registration and Entry Fees: Early Registration (by Oct. 25 th ) $35.00 (Includes T-Shirt) Day of the Race: $40.00 T-shirts are not guaranteed on the day of the race! KEEP CALM AND RUN FOR YOUR LIFE! Zombie Run 2013

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November 2, 2013 5K run in St Marys

Transcript of Zombie Run Registration Form

Page 1: Zombie Run Registration Form

Zombie Run MMXIII

Too Scared To Run? Want to participate but can’t make it, or too scared to make it? Register as a

Too Scared To Run participant, and feel free to stay home on Race Day!

We’ll still get you a shirt and you can avoid the Zombie Apocalypse!

What, Where, When: 5K Run/Walk

Saturday, November 2, 2013

Registration - 4:00 pm, Start -5:00 pm

Registration at SMHS parking lot –

601 E. Lasley, St. Marys, KS

Course to be determined by location

of Zombies!

Awards: Awards will be presented to the top three male and female runners that have

finished the race “uninfected.”

Explanation of Event: All uninfected individuals shall report to the St. Marys High School parking lot

located at 601 E. Lasley in St. Marys, KS. at 1600 hours.

All persons should be prepared to begin running in the event of an attack!

All runners will be equipped with two flag football flags. The goal of the race is to

complete with both flags intact. Those finishing with one will be classified as

“infected.” Those finishing without any flags will be classified as “zombies.”

ZOMBIE RUN 2013

Please read and sign waiver: WAIVER: In consideration of your accepting my entry, I, the undersigned intending to legally bind myself and my heirs, executors, administrators, next of kin, and

assignees, do hereby waive any and all rights and claims against any person or organization affiliated with this race. I agree to indemnify and hold harmless the committee

of Zombie Run 2013, the officials, the race organizers, and any and all sponsors from any claims, actions, damages, liability and expenses including attorney’s fees, on

account of injury to my person or property or resulting in my death with I am competing, observing or participating in any way in this event, including travel to and from

the race. I further attest that I am physically fit and have been sufficiently trained for the race that I am entering and that my physical condition has been verified by a licensed medical doctor.

_______________________________________________ _____________________________________________ ________

Signature Parent Signature If Participant is Under 18 Year of Age Date

Make Checks Payable to: Mail To:

Avon Walk for Breast Cancer Amy Lett

105 E Lasley

St. Marys KS, 66536

Official Use

YS YM YL S M L XL 2X 3X

Last Name

First Name

Male Female

Age on race day Address

City State Zip Code

Entry Fees

(Please circle and total) Pre-Registration by 10/25

5K $35.00

T-Shirt (extra) $15.00

Too scared to run! $25.00

Donation to cause $______

TOTAL: $______

Where Does Your Money Go? "The more of us who walk, the more of us survive" is the motto of the Avon Walk for Breast Cancer events. In May, the Biswell

Battling Babes (BBB) will travel to Washington, D.C. Over the course of the two day event, the BBB will walk a marathon and a

half (39 miles) in their battle against breast cancer! Help make a difference, donate in support of the team today!

Members of Biswell’s Battling Babes are: Julie Biswell (cancer survivor), Marcy Sandberg, Amy Lett, & Brenda Sommars.

Registration and Entry Fees:

Early Registration (by Oct. 25th)

$35.00 (Includes T-Shirt)

Day of the Race:

$40.00 T-shirts are not guaranteed

on the day of the race!

KEEP CALM AND

RUN FOR YOUR LIFE!

Zombie Run 2013