Cary Woods Bash-N-Dash 5K & 1-Mile Fun Run*

WHEN:                                                                                                                  WHERE:

Friday, May 2nd 2008                                                                         Cary Woods Elementary School

1-Mile Fun Run begins at 5:30 PM                                                 715 Sanders Street

5K begins at 5:45 PM                                                                         Auburn, Alabama

(Registration & packet pick-up begins at 4:30 PM)

COST (Non-refundable):                                                                                   QUESTIONS:

If registration received on or before Friday, April 18th     :                            Please email Dawn Stewart at

Without t-shirt:                    $10                                                                          dwstewart@auburnschools.org

With t-shirt:                          $15                                                                          with any questions regarding the

If registration received after Friday, April 18th:                                                1-Mile Fun Run or 5K Race

Without t-shirt:                    $15

With t-shirt:                          $20                                                                          *The Bash-N-Dash 5K is an AORTA sanctioned race

AWARDS:

1-Mile Fun Run (Medals/Prizes for Top 3 in each age group):    

6 & Under              9-10                         13-19                       30-39                       50 & Over             

7-8                           11-12                       20-29                       40-49

5K (Gift cards for Top 3 FINISHERS OVERALL, Male and Female.  $50 for 1st, $25 for 2nd, and $20 for 3rd.  Additional prizes to be awarded to Top 3 finishers in each age group.)

14 & Under            20-24                       30-34                       40-44                       50 & Over

15-19                       25-29                       35-40                       45-49

 

COMPLETE AND RETURN THIS PORTION FOR RACE ENTRY.  PLEASE PRINT.

Please mail completed form WITH check (made payable to Cary Woods PTA) to

Cary Woods Elementary, ATTN: CHRIS UZZELL, 715 Sanders Street, Auburn AL 36830

OR drop off during regular school hours (M-F 7:30 AM to 2:30 PM)

 

Name:    ______________________________________       Male ___  Female ___ (Check one)

 

Address: _____________________________________________________________________

 

City, State, Zip: ________________________________________________________________

 

Phone Number: ________________________________

 

Age: _________ Date of Birth: _________________________

 

Event (Check one):                              5K ______            1-Mile Fun Run ______

 

Shirt size* (Circle one if applicable):             Adult:     S              M            L              XL           Youth:                    S              M            L

*Shirt and shirt size are guaranteed only if participant registers on or before Friday, April 18th

 

WAIVER/RELEASE FORM

Forms for entrants under the age of 18 must be signed by a parent or guardian

 

In consideration for allowing __________________________ to participate as an entrant or competitor in this event, I, the undersigned hereby release, remise, and forever discharge and agree to save and hold harmless and indemnify Cary Woods PTA, Cary Woods Elementary School, and Auburn City Schools and sanctioning bodies presenting said event, the owners of the premises, and the officials, officers, directors, agents, employees, volunteers, and servants of all of them of and from all liability, claims, demands, causes of action, whatsoever, arising out of or relating to any loss, damage or injury (including death) that may be sustained by our respective persons or property while in, on, en route to, from, or out of said premises and of said event, and from any cause whatsoever including negligence of any of the foregoing.  In signing this Request and Waiver/Release Form, the undersigned represents that he or she has READ this Waiver/Release, understands it, and signs it voluntarily and is of sound mind.

 

Signature (Parent or guardian if underage):  _____________________________________ Date: _______________

 

Home