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PRESENTED BY: Wells Fargo & Blue Cross Blue Shield of Alabama

OFFICIAL ENTRY FORM

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PLEASE COMPLETE ALL INFORMATION ON FORM & LIABILITY RELEASE

REESE’S SENIOR BOWL CHARITY RUN

Saturday, November 4, 2017

Last Name (Please print)

RELEASE OF LIABILITY READ BEFORE SIGNING

In consideration of being allowed to participate in any way with Senior Bowl, LLC, its related events and activities, I, ________________________________ the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Senior Bowl, LLC their officers, officials, agents an/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessor’s of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

First Name Middle Initial

Street Address (Street and Number)

City

State Zip code Telephone Number

Age on Race Day Date of Birth Male Female

Email Address:

Check one only: 10K 5K 1 Mile Fun Run

Check one only: Runner Race Walker Wheelchair (10K only)

T-shirt size: Registration deadline to receive guaranteed shirt size is October 13.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Small Medium Large X-Large XX-Large

Early Bird (Until Sept 15) Sept 16 - Nov 2 Nov 3 - Nov 4

Adult Entry 10K, 5K or 1-Mile: $15 $20 $25

Child Entry: $10 $15 $20

(ages 12 & under)

METHOD OF PAYMENT: Check or Money Order to: Senior Bowl Charity Run Cash

Card #

(We accept Visa, Mastercard, American Express, or Discover.)

Exp Date

Authorized Signature ________________________________________

_________________________________________ Age ___ Date _______ PARTICIPANT’S SIGNATURE

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasee’s, and, for myself, my child and ‘Our heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Releasee’s from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

_______________________________________________ Date ________ PARENT/GUARDIAN’S SIGNATURE (print name)

PLEASE MAIL ENTRY FORM, WAIVER AND PREFERRED PAYMENT TO: Senior Bowl Charity Run 151 Dauphin Street • Mobile, Alabama 36602 Or register online at www.seniorbowl.com PRST STD U.S. PostagePAID Mobile, AL Permit #55

151 Dauphin Street Mobile, AL 36602

PRESENTED BY : Alabama of Shield Blue Cross Blue & Fa rgo W ells

PRESENTED BY: Wells Fargo & Blue Cross Blue Shield of Alabama

SATURDAY NOVEMBER 4, 2017

SENIORBOWL.COM

RACE HIGHLIGHTS

Events for Everyone! 5K RACE - 8:00AM

START: Government at Claiborne

10K RACE - 8:15AM

START: Government between Jackson and Joachim

1-MILE FUN RUN - 10:00AM

START: Government between Jackson and Joachim

SCHEDULE

THURSDAY, NOVEMBER 2

11:00AM-5:00PM Race Headquarters Open Runner Registration and Packet Pick-Up

FRIDAY, NOVEMBER 3

9:00AM-5:00PM Race Headquarters Open Runner Registration and Packet Pick-Up

SATURDAY, NOVEMBER 4

6:00AM-8:00AM Race Headquarters Open 8:00AM Family Fun Festival - Bienville Square 8:00AM START: 5-K Race Government at Claiborne 8:15AM START: 10-K Race Government between Jackson & Joachim 10:00AM START: 1-MILE Fun Run Government between Jackson & Joachim 11:30AM Awards Ceremony - Bienville Square

S. FULTON ST. DAUPHIN STREET

OLD GOVERNMENT ST. USATF Certified • RRCA Sanctioned

ST. ANN

GOVERNMENT STREET BROAD ST. DEARBORN CONTI ST. CLAIBORNE ST.

5K START JACKSON ST.

CONCEPTION ST. FINISH

10K START START FUN RUN ENTRY FEE

CHARITY RUN COURSE MAP The 10K race route features an extremely fast, flat course through historic downtown Mobile.

RUNNER PERKS

For only $20 (10K, 5K, and 1-Mile Fun Run), all runners will receive a long-sleeve T-shirt and admittance to the Family Fun Festival.

FAMILY FUN FESTIVAL

The Family Fun Festival will take place in Bienville Square from 8:00AM – 12:00PM on race day and will include plenty of free food, music, and activities for everyone.

HELP AREA YOUTH

Low fee of $20 per runner for 10K, 5K, and 1-mile Fun Run. Entry fee includes long-sleeve T-shirt and admittance to the Family Fun Festival. NOTE: Entry fee on November 3 & November 4 will be $25 for adults and $20 for children.

REGISTRATION

IN-PERSON:

Reese’s Senior Bowl Office (Race Headquarters) 151 Dauphin Street (Downtown Mobile)

Uncle Joe’s Running Store in McCoy Outdoors 3498 Springhill Avenue (By noon on Wednesday, November 1)

Running Wild 214 Fairhope Avenue (By noon on Wednesday, November 1)

Run-N-Tri 6345 Airport Blvd. / Piccadilly Square (By noon on Wednesday, November 1)

Fleet Feet 3972 Airport Blvd. (By noon on Wednesday, November 1)

ON-LINE: (By Wednesday, November 1) www.seniorbowl.com (on-line registration will close at 12:00PM on November 1) A small processing fee will be added to all on-line entries.

MAIL: (Must be received by Tuesday, October 31): Senior Bowl Charity Run 151 Dauphin Street Mobile, AL 36602

RACE HEADqUARTERS

Race headquarters (registration and packet pick-up) will be located at the Reese’s Senior Bowl Office at 151 Dauphin Street and open during the following hours:

TOP FINISHER AWARDS

10K and 5K awards will be presented to the top three male and female Overall, Masters, Grand Masters, and Race Walk finishers and to the top male and female Wheelchair finishers during the Family Fun Festival. Awards to the top three male and female finishers in age groups: 9 and under, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, and 80+ will be available for pick-up at the Family Fun Festival.

1-MILE FUN RUN

A special 1-mile fun run promoting health and fitness for kids and their families will be held at 10:00AM. The first 3 male and female finishers will receive awards and the winner will be announced on field during the 2018 Reese’s Senior Bowl. ALL participants will receive a special decal for finishing the race.

COURSE SUPPORT

Dasani bottled water will be available at stations located along the 10K and 5K course as well as the start and finish line of all races. Clocks will be stationed at every mile. Medical teams will be at the start and finish lines as well as along the course.

FREE PARKING

All runners will help the Senior Bowl achieve its goal of raising funds for youth throughout our region. Since the inception of the Charity Run, more than $4.5 million has been raised for charities throughout the Gulf Coast. THURSDAY, NOVEMBER 2 - 11:00AM-5:00PM FRIDAY, NOVEMBER 3 - 9:00AM-5:00PM SATURDAY, NOVEMBER 4 - 6:00AM-8:00AM

Contact number at race headquarters 251-438-2276 Free parking in the parking garage adjacent to the Renaissance Riverview Plaza Hotel will be available on race day. Just show your official race number as you exit.

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