This document is a registration form for the Camp Cherith 5K and Fun Run taking place on August 30th, 2014. It requests the runner's contact information, age, gender, event registering for, t-shirt size, and signature agreeing not to hold the organizers liable for any injuries and granting permission to use photos. The registration fees are $20 before August 23rd or $25 on race day, with the kid's fun run being $10. Runners must sign acknowledging the risks of trail running and certifying their ability to safely complete the event.
This document is a registration form for the Camp Cherith 5K and Fun Run taking place on August 30th, 2014. It requests the runner's contact information, age, gender, event registering for, t-shirt size, and signature agreeing not to hold the organizers liable for any injuries and granting permission to use photos. The registration fees are $20 before August 23rd or $25 on race day, with the kid's fun run being $10. Runners must sign acknowledging the risks of trail running and certifying their ability to safely complete the event.
Original Description:
Want to run or walk in our 5k or Fun Run? Print out this registration page and send it in!
This document is a registration form for the Camp Cherith 5K and Fun Run taking place on August 30th, 2014. It requests the runner's contact information, age, gender, event registering for, t-shirt size, and signature agreeing not to hold the organizers liable for any injuries and granting permission to use photos. The registration fees are $20 before August 23rd or $25 on race day, with the kid's fun run being $10. Runners must sign acknowledging the risks of trail running and certifying their ability to safely complete the event.
This document is a registration form for the Camp Cherith 5K and Fun Run taking place on August 30th, 2014. It requests the runner's contact information, age, gender, event registering for, t-shirt size, and signature agreeing not to hold the organizers liable for any injuries and granting permission to use photos. The registration fees are $20 before August 23rd or $25 on race day, with the kid's fun run being $10. Runners must sign acknowledging the risks of trail running and certifying their ability to safely complete the event.
Please fill out this registration form and send it and your registration fee to: Alicia Stradley,
158 Montrose Ave, Buffalo NY 14214
Name_____________________________________________________ Address____________________________________________________ City_____________________________ State_____ Zip______________ Phone (___)_______________ Email_____________________ Age on Race Day____________ Gender (circle one) Male Female Registering for (circle one) T-shirt Size 5k Kids Fun Run Ys Ym YL YXL S M L XL XXL I understand that running a trail race is a potentially hazardous activity. I should not enter and run unless I am medically able & properly trained. I agree to abide by the decision of the race officials relative to my ability to safely complete the event. I assume all risks associated with running/walking this event including, but not limited to, falls, contact with other runners, the effects of the weather, & the conditions of the course, all such risks being known & appreciated by me. I grant permission to the organizing groups to use any photograph, motion pictures or recordings of my taking part in this event for any legitimate purpose. Having read this waiver acknowledging these facts & in consideration of you accepting my entry, I for myself, & everyone entitled to act on my behalf, waive and release Camp Cherith of WNY, volunteers & any and all race sponsors from any claims or liabilities of any kind arising out of my participation in this event. I understand that all entry fees are nonrefundable. I have read this waiver & certify my compliance & agreement with its content with my signature. Runner Signature: Parent/ Guardian Signature (if under 18) ______________________________________ ________________________________________________ Registration for Camp Cherith 5K and Fun Run Saturday, August 30 th , 2014 Race begins at 11:00am
Located at Camp Cherith WNY 9534 Short Tract Rd Hunt NY 14846
Pre-registration fee: $20 (By Aug 23) Checks made payable to: Day of registration fee: $25 Camp Cherith WNY Kids Fun Run: $10