Colorado Symphony 5K Run / Walk 2015

PHOTO: DENIS FROLOV

Saturday, September 19, 2015 Sloan’s Lake Park Strollers welcome!

Free Symphony ticket with each registration (some limitations apply) Live music performed on course Dogs welcome!

See website for full schedule of events COSymphony5k.com

Interested in volunteering?

Marg Collins | mcollins@coloradosymphony.org PHOTO: DENNIS FROLOV

7:45 AM Registration and Packet Pick-Up 8:45 AM Kids Fun Run 9:00 AM 5K Run/Walk 10:00 AM Awards Ceremony 10:15 AM Concert Begins

Thank you sponsor Register Today!

COSymphony5k.com

or

Mail forms postmarked by Sept. 9 to: Colorado Symphony 5K C/O Hallucination Sports 9786 S Holland Street, Littleton, CO 80127

Registration Information $35 Adult (13 & over) $25 Kids (12 & under), Seniors (60 & over), and Veterans $40 onsite Non-Running Fundraiser Donation $ _______________________________ FIRST NAME

LAST NAME

ADDRESS CITY

PHONE

STATE

ZIP CODE

DATE OF BIRTH: MM/DD/YYYY

EMAIL

Gender M F Will you be bringing a dog? Y N T-Shirt Size: Adult (Unisex) Small Medium Large

X-Large Enter size __________ (Add’l $5 added to your order)

Child (Unisex): Small Medium Large Do you want to join or create a team?

Y N Join team __________________________________________________________________ Create team _______________________________________________

Payment Information Cash enclosed Check enclosed (Please make out to Colorado Symphony Association) Credit Card: Visa Mastercard AMEX Discover NAME ON CARD

CARD NUMBER

EXP.

BILLING ADDRESS (IF DIFFERENT FROM ABOVE) SIGNATURE OR SIGNATURE OF GUARDIAN IF UNDER 18

Questions?

Christine Devereaux | cdevereaux@coloradosymphony.org | 303-534-0757 Waiver & Release In consideration of the acceptance of my entry in the 2015 Colorado Symphony 5k Run/Walk, I, for myself, my

executors, administrators and assignees, do hereby release, Colorado Symphony, Hallucination Sports, City and County of Denver, and any other contributing sponsors and supporters of this race and their respective officers, members, agents, volunteers and employees from all claims arising or growing out of my participation in the 2015 Colorado Symphony 5k Run/Walk. I attest and verify that I have knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event. I give permission for current and future use of my name and picture in any broadcast or print media account of the event as well as permission for communications to myself from the event and its sponsors, supports and vendors via electronic or print means. I understand that the entry fees are non-refundable.

MEDIA SPONSOR