Professional Documents
Culture Documents
Strides For Cancer Brochure
Strides For Cancer Brochure
Strides For Cancer Brochure
event. I am aware running or walking in this race can be a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decisions of a race ofcial relative to my ability to complete the run or walk. I also am aware there will be protection provided but there may be trafc on the course. I assume that all stakes associated with my voluntary participation in this event, including but not limited to falls, contact with other participants, the effects of the weather, including extreme temperatures, trafc and all conditions of the course, all such risks being known and appreciated by me. Knowing these facts and in consideration of your accepting my entry, I for my self, my recipients, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE the Township of Moon, race ofcials, workers or volunteers, their representative, successors or assigns for ANY AND ALL claims of liability, whether foreseen or unforeseen r death, personal injury or property damage ensuring out of or in the course of my participation in this event. I further give full permission to the sponsors, organizers, and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recording or other record of the event for any reasonable purposes from the event. Sign on reverse.
Cost:
Registration by March 23rd: $25 Registration by March 30th: $30
Registration after March 30th does not guarantee a t-shirt Please write all checks out to: Patrick Ware
Strides for Cancer 5K Run/Walk Registration Form Last Name:_______________________ First Name: Age: D.O.B:____/______/ Gender: M or F Address: City:__________________________ State:_________ T-shirt size (adult): Payment: Check Zip:____________ S or M L XL
Relay for Life of Pittsburgh West is an organized, overnight community fundraising walk that takes place on May 9th at West Allegheny High School. Teams of people camp out around a track and participate in games, activities, and provide entertainment to build camaraderie. It is a family- friendly environment for the entire community. Donations can be made on my Relay for Life account under Patrick Ware. My team name is Pats Striders (URL link provided below). All donations would be much appreciated. http://main.acsevents.org/site/TR?fr_ id=58357&pg=personal&px=35764551
Cash
Signature:
____________________________
Please write all checks out to: Patrick Ware Filled-out registration forms can be torn off and sent to: Patrick Ware 202 Parliament Dr. Moon Township PA, 15108