5K Run for Veterans Saturday, May 2, 2015 10:00 AM Thompson Park. Watertown, NY Registration Fee- $25- ages 10 and up / $20- Veterans and Active Duty Military Proceeds to benefit the Veterans Outreach Center *First 100 registered are guaranteed a t-shirt* Pre –register by mailing or dropping your form off to : Veterans Outreach Center 146 Arsenal Street Box 5 Watertown, NY 13601 or emailing [email protected] Make checks payable to : Utica Center for Development. Registration fees are non refundable. Cash or Check only please. Race day registration will take place at the Thompson Park Pavilion across from the zoo parking lot from 8:30AM-9:45AM. ———————————————————————————— First Name ______________ ___ Last Name ____________________ Address _________________________________________________ City/State/Zip ______________________Male _____ Female ______ Date of Birth ___________ E-mail Address ______________________ Are you a Veteran? Yes ____ No ___ Shirt size (Circle One) S M L XL Liability Waiver: I understand and agree that I am voluntarily participating in the 5k Run for Veterans, at my own risk. I should not enter unless I am medically able. I waive and release the Veterans Outreach Center, the city of Watertown and their representatives from all claims or liabilities of any kind arising out of participating in this event. I further hereby grant full permission to any or all of the foregoing to use photographs, videotapes, recordings or any other record of this event. Must be signed to participate ____________________________________ Signature/Date ____________________________________ Parent/Guardian signature if under 18/Date *For additional Registration Forms email: [email protected]*