RUN, WALK OR WHEEL DOWN MICHIGAN AVE. TO THE MICHIGAN STATE CAPITOL! THE HEART OF MICHIGAN!
DeWitt-Bath Review
Presented by LSJ Media
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5.14.2011 • DOWNTOWN LANSING, MI “The Heart of Michigan Race challenges every Michigan non profit to come out and raise funds for the many important causes in our state. The event also supports our fight against childhood obesity and child abuse. Please join us on May 14th!”
Governor Rick Snyder of Michigan START TIME: 10K & 5K 8:30 AM • 1 Mile 10:00 AM PACKET PICK-UP: 5/13/11 @ Playmakers - 2299 W. Grand River Avenue Okemos, MI 48864, 2-7 PM. Race Morning 5/14/11: 10K, 5K & 1M 6:30 AM at race start. AWARDS: T-shirt guaranteed to all participants who register by 5/13/11! Overall Winners--Shoes for overall female and male. Age Group awards 5-deep in 5-year age groups. RAISE FUNDS FOR YOUR NON-PROFIT! A portion of your entry will be donated to Healthy Kids, Healthy Michigan and Michigan Children’s Trust Fund. But, you can do more! Get a team together for your favorite area non-profit. We will supply you with a fund-raising kit. You and your team can raise thousands of dollars for the charity of your choice just by getting tax deductible donations for completing your run. Every penny you and your team raises will go directly to your charity of choice. Email events@champsforcharity.com to receive your fund-raising kit and get started by pulling a team together and raising donations! FOR MORE INFO EMAIL events@champsforcharity.com, OR CALL 734.213.1033, OR FAX 734.585.5054.
Heart of Michigan Entry Form: Enter online at www.heartofmichiganrun.com or use this form: Male
Female Age 05/14/11 __________
T-Shirt Size: Adult
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XXL Youth:
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First ___________________________________________________________________________________________________Last ______________________________________________________________________________ Address ________________________________________________________________________________________________________________ City/ST _______________________________Zip_________________________ Phone _________________________________________________Email ______________________________________
10K
$32 through 4/29/11
$36 4/30/11 - 5/12/11
5K and 10K limited to the first 10,000 runners and walkers.
1 Mile
$13 through 4/29/11
$18 4/30/11 - 5/12/11
$39 Race Weekend 5/13/11 & 5/14/11
5K
$32 through 4/29/11
$36 4/30/11 - 5/12/11
$39 Race Weekend 5/13/11 & 5/14/11
$23 Race Weekend 5/13/11 & 5/14/11
YES! I want to make an additional contribution to Healthy Kids, Healthy Michigan: $_____________
Michigan Children’s Trust Fund: $_____________ Total Amount Enclosed: $______________
Credit Card_______________________________________________________________________________________________Exp________ Sec.Code___________________ Note: A $3.25 processing fee will be applied with each credit card registration. Or send check to: Heart of Michigan, 3780 Santa Fe Trail, Ann Arbor, MI 48108Or send check to: Heart of Michigan, 3780 Santa Fe Trail, Ann Arbor, MI 48108 Waiver and Release of Liability I know Heart of Michigan Run is a potentially hazardous activity. The dangers inherent to racing include but are not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, lightning, and loose trails, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your acceptance of my entry, I, for myself and anyone entitled to act on my behalf waive and release all volunteers and sponsors, The State of Michigan, Champions for Charity and their employees from all claims of liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I have read and I accept the terms of the waiver: Date______________________________________________ Signature:_________________________________________________________________________________________________________________
Send entry form and check to: Heart of Michigan, 3780 Santa Fe Trail, Ann Arbor, MI 48108. Make checks payable to Heart of Michigan.
NON-PROFITS….USE HEART OF MICHIGAN TO RAISE FUNDS! Go to www.heartofmichiganrun.com!
LJ-0100082321
May 1, 2011
Parent or Guardian signature if under 18:_________________________________________________________________________________________