2015 5K and 1 Mile Run / Walk Registration Form

10th Annual Granger Paths 5K & 1 Mile Run/Walk
May 17, 2015 • Northpoint Elementary School • Granger, IN
Start Time 9:00 a.m. - 5K Run/Walk
Start Time 9:05 a.m. - 1 Mile Family Fun Run/Walk
Event Info – 5K is a fast, flat, timed out-and-back course. The 5K is a MRA Circuit Race. Both the 5K and 1 Mile events
start and end at the Northpoint Elementary School. No bicycles, rollerblades, skateboards, or animals allowed on either
the 5K or 1 Mile course. Strollers are only acceptable on the 1 Mile Run/Walk.
Parking – Parking is located at both Mary Frank Elementary School and Northpoint Elementary School. The school bus
parking lot and adjacent lot are reserved for the start/finish line, sponsors, sponsor booths, and setup for family events.
Registration – Online Registration Now Available at www.grangerpaths.org/run-walk until May 15th. Registration will
be available on the 16th at packet pickup. On-site registration on race day is available between 7:30 am and 8:45 am at
the Northpoint Elementary. A registration form needs completed and signed by each individual participant. One
registration form may be used to register a family for the 1 Mile Run / Walk event.
Registration Fee – Early Bird registration fees are available until May 1st. Any registration received after May 1st will be
charged the Late Registration rate. Michiana Runners Association members, circle ‘Yes’ in the MRA column and deduct
$2 from your total registration fee. Make checks payable to: Friends of Granger Paths.
T-shirt – 5K and 1 Mile participants will have the option to purchase a technical/Dri-fit shirt. Adult shirts are $7 and
youth shirts are $5.
Event
Early Bird
Late Reg.
$20
$5
FREE
$25
$10
FREE
5K - Per Person
1 Mile - (6 & Older)
1 Mile - (Kids 5 & Under)
Circle Adult ($7) or
Youth ($5) Shirt
$7 - $5
$7 - $5
$7 - $5
Shirt Sizes
Adult Available in 2XL
S – M – L – XL-2XL
S – M – L – XL-2XL
S – M – L – XL
Last Name____________________________ First Name_________________________ Phone_____________
Address___________________________________________________________________________________
City_______________________ State_________ ZIP______________ E-mail___________________________
Age on Race Day__________ Date of Birth
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Male:
Female:
WAIVER/RELEASE – Read before signing
For, and inconsideration of, my (or if the participant is a minor, the minor’s) entry and/or participation in the Granger Paths 5K Run/1 Mile Fun
Run/Walk, I myself, my executors, administrators, heirs, and assignees do hereby release, discharge, indemnify, and promise not to sue Friends of
Granger Paths, the Granger Paths Committee, Race Director, all volunteers, sponsors, agencies, subsidiaries, affiliates, and beneficiaries jointly and
severally and hold and waive them harmless from any and all claims of damage, causes of action, suits, costs, charges, claims, demands, and
liabilities of whatever kind, name, or nature, whether or not attributable to the negligence of Friends of Granger Paths, the Granger Paths
Committee, Race Director, any volunteers, sponsors, agencies, subsidiaries, or beneficiaries, in any matter arising out of my (or if I am signing as a
parent or legal guardian of a minor, the minor’s) participation or involvement in, or preparation for, said race and associated events. I attest and
verify that I have full knowledge of the risks involved in this event and I am (or if I am signing as a parent or legal guardian of a minor, the minor is)
physically fit and sufficiently trained to participate. The undersigned grants full permission to any and all foregoing use to his/her (or if signing as a
parent or legal guardian, the minor’s) likeness, including photographs and videotape for publicity and advertising purposes without compensation.
RUNNER SIGNATURE
DATE
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PARENT/GUARDIAN SIGNATURE
DATE
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(Participant under 18)