Run 4 A Cause

20 Time Project, Janson Smith

Where: 1025 Lake Center St. NW, Uniontown OH, 44685

When: Saturday May 2, 2015, 8:30 A.M.-10 A.M. Packet pick-up 7:30- 8:20 a.m.
Race Price:

$10 per person (Additional donations are welcomed and appreciated!) T-shirts are $21 on

www.booster.com/run4acausesupport from March 15 to April 15, 2015.

Contact:

Visit our website at www.run4acause.weebly.com or e-mail us at allstarproperties@sbcglobal.net

Fill out the attached registration to save a slot in our race!

First 50 will receive ribbons, Top 3 men and top 3 women will receive prizes. Drawing will take place after the race.
2 mile race length.

Send registrations to 3120 Broad Vista Street NW, Uniontown Ohio, 44685: Pre-registration ends April 20,2015
Day of registration open from 7:20- 8:15 May 2, 2015
Make Checks payable to: Janson Smith
Name (please print):

________________________________________________________________________
Last Name

Male ___

First Name

Female___

Date

Age:________

Contact Info: E-Mail:_____________________________________ Other:

Total: $_________
Waiver:
I know that running/walking a trail race is a potentially hazardous activity. I should not enter unless I am medically able and
properly trained. I assume all risks associated with participating in this event. Having read this waiver, and knowing these fact and
in consideration of your accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive and release Janson
Smith, his associates, and all sponsors, their representatives and successors, for all claims or liabilities of any kind arising out of
my participation in this event.

X_________________________________________________
Signature (Parent Signature if under 18)

Date