Come join us Friday September 18, 2015 for a 5k, Pig Roast and family dance in support and celebration for the Essentia Health Pediatric ICU in honor of Jade Miller. Dress up as your

favorite Super Hero and lace up your running (or walking shoes) and join us. Free Will Pig Roast and dance will follow!

Date: September 18, 2015 - 5pm 10pm 5k Event: Start and finish will be at the Solon Springs Ball Park start of the race is 6pm Event Time: Pig roast and Chinese Auction to start at 5pm at Solon Springs Community

Center T-Shirts: Guaranteed ONLY to those who are pre-registered by September 4th, 2015

Entry Fee: 15$ for individual walkers or runners. 50$ for a family of 3 or more. Please make checks payable to Danielle Miller.

Return to: Danielle Miller P.O. Box 353 Solon Springs, WI 54873

Super Hero 5k Registration

Circle T-Shirt Size: S M L XL XXL

Circle one: Male Female

Age on race day:_______ Date of Birth_______________

First Name: ______________________________________

Last Name: ______________________________________

Address: ________________________________________

City: ____________________________________________

State: _________________ Zip: ______________________

Phone: __________________________________________

Email:___________________________________________

The undersigned in consideration of all organizations

sponsoring the Super Hero 5k allowing me to participate in

said event do, for myself, my heirs, my executors and

administrators, waive and release any and all rights and

claims of damages of any kind that I may now or hereafter

acquire against all sponsoring organizations because of all

damages, claims, causes of action, demands, losses or

injuries, developed or underdeveloped, resulting, or received

by me as a result of my participation in said event, I further

attest and verify that I am physically fit and have sufficiently

trained for my participation in this event.

Signature:_________________________________________

Signature: _________________________________________ Parent/Guardian if entrant is under 18