Coach Bob Cole Memorial 5k Run/Walk
All proceeds go towards the Robert Charles Cole Foundation Grant and Scholarship Fund
Date: Saturday, July 16, 2011 Time: 8:30 a.m. Location: Sanford Ball Diamonds, 118 Lincoln St. Sanford, MI 48657
Participation Fee: $20 ‐ Includes race t-shirt and post race snack. Race day registration (7:30-8:00): $25 Awards: Awards for top 3 overall male/female and age groups There will also be a silent auction, raffle, food vendors and ice cream for purchase after the race. REGISTRATION INFORMATION Name: _______________________________________________________________________ Address: ______________________________________________________________________ Phone Number:____________________________ Email: _______________________________ Emergency Contact (name and phone): _____________________________________________ Adult T‐Shirt Size (circle one): S M L XL No shirt desired
Are you an honorary participant? Yes No, I will be running/walking Make Checks Payable to: Robert Charles Cole Foundation
In consideration for the acceptance of my registration as a participant in the Coach Bob Cole Memorial 5k Run/Walk, and with the understanding that my participation in this event is only on condition that I enter into this agreement, for myself, my heirs and assignees, I hereby assume the inherent and extraordinary risks involved in the Coach Bob Cole Memorial 5k Run/Walk and any risks inherent in any other activities connected with this event in which I may voluntarily participate. I expressly assume the risk of and accept full responsibility for any and all injuries, including death and accidents which may occur as a result of my participation in this event and release from liability, The Robert Charles Cole Foundation, the Village of Sanford, race director and volunteers, and each of their officers, director and agents, representatives, employees and members. I hereby waive any claim I may have hereafter as a result of my participation in the Coach Bob Cole Memorial 5k Run/Walk and in any other activities connected with this event in which I may voluntarily participate. I further warrant and represent that I am in proper physical condition to participate in the Coach Bob Cole Memorial 5k and am not participating in this event against physician's advice nor am I taking medications which would impair my health or ability to participate in event. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for legitimate purposes. I further understand that there are no refunds if, for any reason, I am not able to run this race or the race is rescheduled due to unforeseen circumstances.
________________________________________________________________ Date ____________________ Signature (parent or guardian if under 18) Please complete the above information and send this form, along with your check made payable to Robert Charles Cole Foundation to: 6419 Water Road, Sanford MI 48657 Register before July 11th to be guaranteed a t-shirt! They will be available while supplies last after July 11 th. Please make a copy of this form for your records - Questions? Contact email@example.com