BUNNY HOP 5K - Lone Star Runners Club

THE AMARILLO AREA YOUNG LAWYERS ASSOCIATION IS PROUD TO PRESENT THE
BUNNY HOP 5K
BENEFITING THE HIGH PLAINS FOOD BANK
SATURDAY, APRIL 4, 2015
9:00 A.M.
(Race Day Registration at 8:15 A.M.)
THOMPSON PARK
$20 per person/ $30 per family
(Starts on E. Chaparral Road across from Wonderland Park entrance)
(Packet pick-up at Get Fit, 2311 S. Georgia, on Friday, April 3rd, 4:30 – 6:00 p.m.)
REGISTRATION
Name: ___________________________________________________________________________
Age: ___________________
Birthdate: ____________________________________________
Address: _________________________________________________________________________
Telephone: ___________________ E-mail address: ________________________________
__________________________
PARTICIPANT’S SIGNATURE*
__________________________________
PARTICIPANT/GUARDIAN SIGNATURE*
(IF PARTICIPANT IS UNDER 18 YEARS OF AGE)
Please make checks payable to AAYLA and mail completed entry form to:
701 S. Taylor, LB 103, Amarillo, TX 79101
Questions? Email Tyler Topper at [email protected].
*Participant and/or parent/guardian signature above signifies understanding and acceptance of the following waiver of
claims:
In return for its agreement to accept this entry form, I hereby release the Amarillo Area Young Lawyers Association and
its officers, directors, agents, representatives, and the volunteers, sponsors, promoters, and all other persons associated with
the Amarillo Area Young Lawyers Association from liability for any injuries received by me (or if the participant is a minor,
then I release them from liability for injuries received by the minor for whom I am responsible) during participating in this
sporting event, which includes all post-race activities through the end of the awards ceremony and the conclusion of the
event. I recognize that participation in the event sponsored or in any way supported by Amarillo Area Young Lawyers
Association exposes me and/or my family member(s) to risks including, but not limited to, running-related injury, traffic,
and other risks including cracks in the roadway or sidewalk, uneven running surfaces, slick conditions, other participants in
the race, weather-related hazards, and post-race accidents of any type. Notwithstanding these potential risks and possibly
other unanticipated risks, all of which cannot be listed, I HEREBY ASSUME FULL RESPONSIBILITY FOR ANY
INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY (OR MY FAMILY MEMBER’S OR WARD’S)
ATTENDANCE AT OR PARTICIPATION IN THIS EVENT.