super hero 5k registration and flyer
DESCRIPTION
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!TRANSCRIPT
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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