Zombie Run Registration Form
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Transcript of Zombie Run Registration Form
![Page 1: Zombie Run Registration Form](https://reader035.fdocuments.us/reader035/viewer/2022073120/55cf9bc7550346d033a759e2/html5/thumbnails/1.jpg)
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