Heather's Healing Run & Walk is a 5K and 1 mile family friendly event and fundraiser on September 4, 2010 at the Columbiana County Fairgrounds in Lisbon, Ohio to support Heather in her cure from cancer. Participants can register online or by mailing in a registration form along with a waiver by August 16th to receive a t-shirt, and donations will also be accepted on the day of the event. All registered participants are eligible for draw prizes to be awarded that day.
Heather's Healing Run & Walk is a 5K and 1 mile family friendly event and fundraiser on September 4, 2010 at the Columbiana County Fairgrounds in Lisbon, Ohio to support Heather in her cure from cancer. Participants can register online or by mailing in a registration form along with a waiver by August 16th to receive a t-shirt, and donations will also be accepted on the day of the event. All registered participants are eligible for draw prizes to be awarded that day.
Heather's Healing Run & Walk is a 5K and 1 mile family friendly event and fundraiser on September 4, 2010 at the Columbiana County Fairgrounds in Lisbon, Ohio to support Heather in her cure from cancer. Participants can register online or by mailing in a registration form along with a waiver by August 16th to receive a t-shirt, and donations will also be accepted on the day of the event. All registered participants are eligible for draw prizes to be awarded that day.
5K & 1 Mile www.heathershealing.blogspot.com Entry Form
A family friendly event & fundraiser to Name: _____________________________________________
support Heather in her cure from cancer. Address: ___________________________________________ City, State, Postal Code: ______________________________ September 4th, 2010 Telephone: _________________________________________ 2:00pm Email: _____________________________________________ Columbiana County Fairgrounds Relationship to Heather: _______________________________ 225 Lee Ave. Lisbon, Ohio Would you like to order a T SHIRT for $12? □ Yes □ No Further information and online registration: www.heathershealing.blogspot.com How Many? ______ Size(s) ________ or detach and Mail Registration To: ** ORDERS MUST BE RECEIVED BY AUGUST 16TH ** PO Box 3, Leetonia, OH, 44431 I hereby waiver all claims for injury, death, illness, property damage, and/or loss, including claims for negligence, (Checks payable to Heather Sorg) both for myself and my heirs, which I may as a consequence of my involvement in the run/walk, the race director, and members of her committee and all other people associated with Heather’s Healing Run & Walk, the Town of Lisbon, and the Columbiana County Fairgrounds. I acknowledge that running/walking include inherent risks and in Late Registration @ the Fairgrounds on Sept. 4th from signing this form, it is my intention to accept those risks and consequences thereof. I acknowledge that I have read 1:00-1:30pm this release in its entirety. I understand and agree to be bound by its terms.
Donations will be accepted on Event Day.
Signature ____________________________________ Date _____________________ This event will not be timed & there will be no age category Parent/Guardian_______________________________ prizes. All registered runners and walkers are eligible for draw prizes. You must be present to win. DONATION $ _____ + TSHIRT $ _____ = TOTAL ENCLOSED $______