RES Rock and Roll Run for Patrick:
We are organizing a fun family walk/run at Rothesay Elementary School for Patrick White. Patrick White is a parent at our school. We would like to support him with his ongoing cancer treatments. We have a 1km children’s run and a 2.5km family walk/run.
When: Saturday, June 6th, 2015.
***T-Shirt pick up and late registration from 7:30 until 9:15am on race day. Children’s 1km run starts at 9:30am. The family 2.5km walk run starts at 10:00am.
Where: Rothesay Elementary School.
Cost: Adult runners $15(T-Shirt guaranteed if you register by May 21st)
Children $5(participant ribbon) Children are encouraged to complete the 2.5km run and the 1km.
Family Rate: $35 for a family of 5.
How Can You Help?
-Come walk or run with us.
-Or volunteer along the route.(Please contact Kodi MacGougan)
-Or volunteer to bake for the finish line(Please contact Kodi MacGougan)
How can you register early?
Return the bottom portion of this sheet with a cheque made out to Rothesay Elementary School.
(You can send your cheque and the bottom portion of this form to school with your child on or before May 21st to be guaranteed a t-shirt.)
Number of adult runners registering for the event:_____Contact phone #:______
Please record the first and last name of each of the adult runners and their t-shirt sizes:______
Adult t-shirt sizes: sml______Med______lrg______xlrg______. (womens t-shirt)
Adult t-shirt sizes: sml______Med______lrg______xlrg______.(mens t-shirt)
Number of children running :______.
First and last names of children running:______.
______.
Contact: Kodi MacGougan()
WAIVER
I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running this event including, but not limited to, falls, contact with other participants, the effect of weather (including wind, rain and fog), traffic and the conditions of the road in consideration of your accepting my entry. I, for myself and anyone entitled to act on my behalf, waive and release Rothesay Elementary School, the organizing committee, the town of Rothesay and all sponsors, their representatives and successors from all claims or liabilities arising out of my participation in this event.
Each adult participating must sign. Each child participating must have the signature of an adult on their behalf.
______
Signature of participating adultSignature of participating adult
(**please note you are signing here for yourself
and any children listed to participate)
______
Signature of participating adult