PARTICIPANT #3 PARTICIPANT #3 Name __________________________________________ Name __________________________________________ (First name, last name) (First name, last name) Age _______ � Male � Female Age _______ � Male � Female Check one: � 5K run � 2 mile walk Check one: � 5K run � 2 mile walk Adult T-shirt Size (check one): � S � M � L � XL M $2) � L � XL Adult T-shirt Size (check one): � � SXXL�(add � XXL (add $2) Signature (parent/guardian) __________________________ Signature (parent/guardian) __________________________ PARTICIPANT #4 PARTICIPANT #4 Name __________________________________________ Name __________________________________________ (First name, last name) (First name, last name) Age _______ � Male � Female Age _______ � Male � Female Check one: � 5K run � 2 mile walk Check one: � 5K run � 2 mile walk Adult T-shirt Size (check one): � S � M � L � XL M $2) � L � XL Adult T-shirt Size (check one): � � SXXL�(add � XXL (add $2) Signature (parent/guardian) __________________________ Signature (parent/guardian) __________________________ I know that running in a race is potentially hazardous activity. I should enter and run unless am medically ablehazardous and properly trained. I agree Inot know that running in aIrace is potentially activity. I should to abide by arun decision a race officialable relative to my ability to safely not enter and unlessofI am medically and properly trained. I agree complete run. I assume all risks associated running event to abide bythe a decision of a race official relativewith to my abilityintothe safely includingthe butrun. notI limited to falls, contact with participants, the complete assume all risks associated withother running in the event effects of weather including and/or traffic andthe including but not limited to high falls, heat contact withhumidity, other participants, conditions of the including road, all such known and appreciated effects of weather highrisks heatbeing and/or humidity, traffic and by me. Havingofread waiver and risks knowing these facts and in consideration conditions thethis road, all such being known appreciated by of the Wisconsin Ovarian Cancer Alliance entry, I, for me. Having read this waiver and knowing theseaccepting facts and my in consideration myself and anyone entitledCancer to act Alliance on my behalf, waive release the of the Wisconsin Ovarian accepting myand entry, I, for Badgerland Stridersentitled running of Wauwatosa, including myself and anyone toclub, act onthemyCity behalf, waive and release the WauwatosaStriders East High School, Froedtert &oftheWauwatosa, Medical College of Badgerland running club, the City including Wisconsin, East Milwaukee CountyFroedtert Parks, race officials, all sponsors, Wauwatosa High School, & the Medical College oftheir representatives and successors all race claims and liabilities of anytheir kind Wisconsin, Milwaukee Countyfrom Parks, officials, all sponsors, arising out of participation me or of my children this representatives and successorsbyfrom all any claims andminor liabilities of anyinkind event. out I grant permission ofbyallme theorforegoing tominor use anychildren photographs, arising of participation any of my in this motion pictures, recordings or the anyforegoing other record of this for any event. I grant permission of all to use any event photographs, legitimate purpose. I certifyor that anrecord amateur eligiblefortoany motion pictures, recordings anyI am other of and this event compete in this event in accordance TAC AAF legitimate purpose. I certify that I amwith an amateur andrules. eligible to compete in this event in accordance with TAC AAF rules. With no definitive symptoms, the disease no definitive symptoms, canWith be challenging to diagnose andthe evendisease more can be challenging to diagnose and even challenging to treat. Due to lack of reliablemore early challenging to treat. Due tocases lack ofarereliable early detection methods, most discovered detection most cases are discovered when the methods, cancer is already advanced. The when the cancer is already advanced. American Cancer Society estimates thatThe 21, 300 American Society thateach 21,year, 300 women areCancer diagnosed withestimates the disease women are diagnosed with the disease each year, and 14,000 die from the disease annually. and 14,000 dieis from the disease annually. That’s why it so important to understand That’s why it is so important to understand ovarian cancer and to get annual check-ups ovarian and to get annual check-ups with ancancer obstetrician/gynecologist you trust. with an obstetrician/gynecologist you trust. If you experience any of the following, If you experience any ofignore the following, listen to your body. Don’t these listen to your body. Don’t ignore these symptoms. If they persist for more than two symptoms. theydoctor! persist for more than two weeks – seeIfyour weeks – see your doctor! • Vague, but persistent and unexplained • Vague, but persistent and unexplained gastrointestinal complaints, such as gas, gastrointestinal complaints, such as gas, nausea or indigestion nausea or indigestion • Abdominal bloating • Abdominal bloating • Unexplained weight loss or gain • Unexplained weight loss or gain • Unusual fatigue • Unusual fatigue • Shortness of breath • Shortness of breath • Unexplained change in bowel or • Unexplained urinary habitschange in bowel or urinary habits If you or someone you know has already If or someone you know hasbe already been you diagnosed with ovarian cancer, sure to been diagnosed with ovarian cancer, be sure to– ask for a referral to a gynecologic oncologist ask for a referral a gynecologic oncologist a physician whotospecializes in cancers of the– areproductive physician who specializes in cancers of organs. Research shows thatthe reproductive organs. Research shows that treatment by a gynecologic oncologist is treatment by a gynecologic oncologist is one of the top factors in increasing survival one ofasthewell topasfactors in increasing survival rates, decreasing rates of ovarian rates, as well as decreasing rates of ovarian cancer recurrence. cancer recurrence. To learn To more, visit woca.net learn more, visit To learn more, visit woca.net Wisconsinovariancancer.com WATERTOWN RD. PLANK N RTOW WATE PLANK RD. EE ON RM VNEE. E A H MA O R E. HA AVD O O RWVO E.D HA WAO R E. HA AV N. WAUWATOSA AVE. N. WAUWATOSA AVE. Age _______ � Male � Female Age _______ � Male � Female Check one: � 5K run � 2 mile walk Check one: � 5K run � 2 mile walk Adult T-shirt Size (check one): � S � M � L � XL M $2) � L � XL Adult T-shirt Size (check one): � � SXXL�(add � XXL (add $2) Signature (parent/guardian) __________________________ Signature (parent/guardian) __________________________ The Ovarian Cancer TheWisconsin Badgerland Striders The Wisconsin Ovarian Cancer Alliance proudly presents proudly presents Alliance proudly presents the 3rd annual the 3rd annual MILWAU KEE AV E. IL AUK WAM UWW ATOSAEE AVE. E H WIG AUHWSACTHOO AST HIGH S OSALEAST CHOOL . (First name, last name) Ovarian cancer Ovarian cancer is often called a is often called a “disease that whispers.” “disease that whispers.” N. GN L. EGNLE VIE NV WIEAW VEA.V E PARTICIPANT #2 PARTICIPANT #2 Name __________________________________________ Name __________________________________________ (First name, last name) �� CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT Entry Form continued Entry Form continued Map and Directions Map and Directions Nancy’s Run, Rock & Stroll will be held at Wauwatosa Nancy’s Run, Rock 7500 & Stroll will be held at Wauwatosa East High School, Milwaukee Avenue, Wauwatosa. East High School, 7500 Milwaukee Avenue, Wauwatosa. Driving directions Driving directions Take US-45 to Watertown Plank Road. Take US-45 to Watertown Plank Road. Take eastbound ramp. (Watertown Plank Road becomes Take eastbound ramp. (Watertown Plank Road becomes Harwood Avenue.) Harwood Avenue.) Turn left on Harmonee Avenue. Turn left on Harmonee Avenue. Turn left on N. Wauwatosa Avenue. Turn left on N. Wauwatosa Avenue. Turn right on Milwaukee Avenue. Turn right on Milwaukee Avenue. Wauwatosa East High School is at Wauwatosa East High School is at 7500 Milwaukee Avenue. 7500 Milwaukee Avenue. 2008 2009 2008 at at A 5K run A 5K run 2 mile fun walk 2 mile fun walk Children’s Race Children’s Race Saturday, September 6, 2008 Saturday,September September 6, 2008 Saturday, 12, 2009 Wauwatosa East High School Wauwatosa East High HighAvenue School Wauwatosa East School 7500 N. Milwaukee 7500 N. Milwaukee Avenue 7500 N. Milwaukee Avenue 5K Certified Run or 2 Mile Fun Walk: 5K Certified Run or 22Mile MileRun FunWalk: Walk: 5:30 5K Certified Run or pm 5:30 pm 5:30 pm 4:00 pm Children’s Race: Children’s Race: 4:00 pm Children’s Race:3:30 4:00pm pm Registration: Registration: 3:30 Registration: 3:30 pm pm This fast, downhill course goes through Menomonee This downhill course goes through Menomonee Riverfast, Parkway, finishing in downtown Wauwatosa River Parkway, finishing in downtown Wauwatosa This event benefits at the heart of the very popular TosaFest. Stick around at thefor heart the very popular TosaFest. Stickand around Wisconsin Ovarian Cancer Alliance is after liveofentertainment, free refreshments, games, held in memory of Nancy Niese. after for live entertainment, free refreshments, games, awards and lots of fun! awards and lots of fun! funding and advocacy. forInaLoving day of fun and Memory In In Loving Loving Memory Memory helpInmake a difference! Loving Memory To To Register Register Register early!in this brochure, or register online at Use Register the form To Use Use the form the form this inbrochure, this brochure, brochure, register or register online online badgerlandstriders.org. Use the form ininthis ororregister online atat at badgerlandstriders.org. Use badgerlandstriders.org. the form in this brochure, or register online at badgerlandstriders.org. Individual – $17 until August 29 Awards badgerlandstriders.org. Individual Individual – $17 – $17 until until August 29 29 $20 on race dayAugust • Overall male female Individual –$17 until 1st prize $20and on $20 race onSeptember day race$50 day Individual – $17 August 29cash Families – $50 for families of up to members race day • 3 deep in each $20 on day 14 and4under age Families Families – $50 – $50 for families forgroup: families of upoffor toup4each to members 4 members until August 29 ($17 To volunteer or to obtain extra15forms, call Race -for 194each until until August August 29 ($17 29 ($17 for Families – $50 for families of up to members additional family member) each Director Valarie Nolinfamily at29family 414-403-3524 20 -for 29each or additional additional member) member) until August ($17 $60 for families of30 up- to e-mail: [email protected]. 394 members additional $60 $60 for families forfamily families ofmember) upoftoup4 to members 4 members on race day 40 - 49 on race on day day of up to 4 members $60 for race families 50 59 Extra Race registration Forms can forms be picked up at Rodiezs Additional are- available at on race day forms Additional Additional registration registration forms are available are available at at - 69 Fleet FeetStore: Sports (17550 W. 60 Bluemound Road, Running Fleet Fleet Feet Sports Sports (17550 (17550 W. 70+ Bluemound W.Travel Bluemound Road, Additional registration forms are available at Road, 262-786-7463) and Fox World (four 10903 W. Feet Lincoln Ave. Milwaukee, WI 262-786-7463) 262-786-7463) and and Fox Fox World World Travel Travel (four (four Fleet Feet Sports (17550 W. Bluemound Road, locations; visit foxworldtravel.com). • Awards ceremony to beWorld held near finish line locations; locations; visit visit foxworldtravel.com). 262-786-7463) andfoxworldtravel.com). Fox Travel (four T-shirts are guaranteed all pre-registered following the race. Toimmediately volunteer to obtainfor extra forms, call Race locations; visitorfoxworldtravel.com). participants. Availability limited on race day.Race To volunteer To volunteer or to or obtain to obtain extra extra forms, forms, call call To Register Director Valerie Nolin at 414-403-3524 orRace e-mail: Director Director Valerie Valerie Nolin Nolin at 414-403-3524 at 414-403-3524 or e-mail: or e-mail: To volunteer or to obtain extra forms, call Race [email protected]. Use the form in this brochure, or register online at [email protected]. [email protected]. Director Valerie Nolin at 414-403-3524 or e-mail: badgerlandstriders.org. Race packets can be picked up in advance at Fleet [email protected]. Race packets packets can be canpicked be 3picked up inupadvance in advance at Fleet at Fleet FeetRace Sports, September - 5. Individual – September $17 until August Feet Feet Sports, Sports, 3 - 5. 3 -29 5.advance at Fleet Race packets can September be picked up in $20 on race dayall pre-registered T-shirts are guaranteed Feet Sports, September for 3 - 5. T-shirts T-shirts are guaranteed are guaranteed forlimited all forpre-registered allon pre-registered participants. Availability race day. Families – $50 forAvailability families of up on to 4race members participants. participants. Availability limited on race day. day. T-shirts are guaranteed for alllimited pre-registered until August 29 ($17 for each Register early! participants. Availability limited on race day. Register Register early! early! family Alladditional proceeds benefitmember) the Wisconsin Register early! $60Cancer for families of upor to WOCA. 4 members Ovarian Alliance, Awards on race day WOCA is a non-profit organization Bring the family out for a day of fun and Register early! a difference! help make Awards Awards dedicated to cancer Additional registration forms areovarian available at Award forovercoming overall male and prize female •• Special Overall male and female $50 cash Awards All proceeds benefit the Wisconsin Ovarian Cancer Alliance, or WOCA. WOCA is a non-profit organization Nancy’s Run, Rock & Stroll is held each Nancy’s Nancy’s Run, Run, Rock Rock & Stroll & Stroll is held is held eacheach year in memory of Nancy ovarian Niese, a cancer former dedicated to overcoming year year in memory in memory of Nancy of Nancy Niese, Niese, a former Nancy’s Run, Rock who & Stroll held Badgerland Strider, lost is her life each toa former through education, support, research Badgerland Badgerland Strider, whoat who lost her lost her to life to year in memory of2005 Nancy Niese, aofformer ovarian cancer inStrider, the agelife 64. funding and advocacy. ovarian cancer cancer in 2005 in 2005 atlost the ather age thelife of age64. of 64. Badgerland who to Thisovarian event isStrider, held to raise awareness and This This event event is held is held to raise to raise awareness awareness and ovarian cancer in 2005 at the age of 64. promote education about ovarian cancer.and promote promote education education about ovarian ovarian cancer. cancer. This event is held toabout raise awareness and promote ovarian cancer. Ineducation Lovingabout Memory • Overall •through Overall male male and and female female $50 $50 cashresearch cash prizeprize education, support, Fleet Feet Sports (17550 W. Bluemound Road, deep in each group: •• Overall 33 deep in each age group: 14 and under •262-786-7463) male and female $50 cash prize and Fox World Travel (four funding and advocacy. • 314•deep 3 deep in each in each age group: age50group: 14 under under and under - 54 15 and -14 19and locations; visit foxworldtravel.com). 15 15 19 19 • 315deep 14 - 19in each age group: 55 - 59 20 and - 29 under 20 24 60 64 20 29 15 19 30forms, -20 39- 29 To volunteer or to obtain extra call Race 25 -29 65 69 30 30 39 20 29 40 - 49- 39 or e-mail: Director Valerie Nolin at 414-403-3524 In Loving Memory 30 - 34 70 - 74 40 49 30 39 50 --40 59- 49 [email protected]. 35 - 39 75 - 79 50 59 40 49 60 --50 69- 59 40 packets - 44 can be picked 80 plus Race up in advance 60 60 69 50 59 70+ - 69 at Fleet 45 - 49 Feet Sports, September 3 - 5.60 70+- 70+ 69 near •• Awards ceremony to be held near finish line line 70+ finish • Awards • Awards ceremony to be tothe held berace. held nearnear finish finish line line T-shirts areceremony guaranteed for all pre-registered immediately following immediately immediately following following the race. the race. • Awards ceremony to belimited held near finishday. line participants. Availability on race immediately following the race. Register early! 2009 Special TosaFest Special Special TosaFest TosaFest Children’s Races! Special TosaFest Children’s Children’s Races! Races! Special TosaFest children’s races, starting Children’s Races! Special Special TosaFest TosaFest children’s children’s races, races, starting starting at 4:00 pm in the Wauwatosa East High Special TosaFest races, starting at 4:00 at 4:00 pm pm in field. the inchildren’s Wauwatosa the Wauwatosa East East School soccer Awards given toHigh allHigh at 4:00 pm in the Wauwatosa East High School School soccer soccer field. field. Awards Awards given given to all to all children who finish. School soccer field. Awards given to all children children whowho finish. finish. Register •ToUnder age 6finish. - ¼ mile children who •Use Under •the Under age in age 6 -this ¼ 6 -brochure, mile ¼ mile or register online at form We would also like tomile recognize Badgerland Striders •• Under Ages 7-12 ½ age7-12 6½ -¼ •and Ages • Ages 7-12 -County -mile ½mile mile Milwaukee Parks. badgerlandstriders.org. NOTE: Parent must be present with child •NOTE: Ages 7-12 - ½must mile NOTE: Parent Parent must beifpresent be present withwith child child to–sign registering on day Individual $17 waiver until August 29 to sign to sign waiver waiver if registering if registering on day on day NOTE: Parent must be present with child of race. $20race. on race day of of to race. sign waiver if registering on day race. Families of – $50 for families of up to 4 members Special until Thanks August 29 ($17 for each Special Special Thanks Thanks Our special thanks to all of the sponsors, volunteers and additional family member) Special Thanks Our Our special special thanks to allgiven to ofall theof sponsors, thetime sponsors, volunteers volunteers and and participants whothanks have their and donations. $60who for families oftheir up totime 4 members participants who have have given given their time and donations. andsupport. donations. Our special thanks to all ofpossible the sponsors, volunteers and Thisparticipants event would not be without your Special TosaFest on race day This This event event would would not be not possible be possible without without your your support. support. participants who have given their time and donations. Children’s Races! This event would not be possible without your support. Survivors please Additional registration forms are available at meet atW.theBluemound Fleet Feet Sports (17550 Road, Special TosaFest children’s races, starting andWauwatosa Fox World (four table at 5:00Travel pm High at262-786-7463) 4:00 pm WOCA in the East locations; visit foxworldtravel.com). a group picture. School soccerfor field. Awards given to all children whoorfinish. To volunteer to obtain extra forms, call Race at 414-403-3524 or e-mail: •Director Under Valerie age 6 -Nolin ¼ mile [email protected]. • Ages 7-12 - ½ mile Race packets canmust be picked up in advance at Fleet NOTE: Parent be present with child This fast, downhill course Feet Sports, September 5. to sign waiver3if- registering on day goes through Menomonee River Parkway, of race. finishing in downtown Wauwatosa T-shirts are guaranteed for all pre-registered participants. Availability limited on race day. at the heart of the very popular TosaFest. Special Thanks Stick around after for live entertainment, Register We wouldearly! also like to recognize Badgerland Striders freewould refreshments, games, awards andStriders Our special thanks toto allrecognize of the sponsors, volunteers and We would We also like also like to recognize Badgerland Badgerland Striders and Milwaukee County Parks. participants who have given their time and donations. lots of Parks. fun! and Milwaukee and Milwaukee County Parks. We would also like toCounty recognize Badgerland Striders This event would not be possible without your support. and Milwaukee County Parks. Awards • Overall male and female $50 cash prize • 3 deep in each age group: 14 and under 15 - 19 20 - 29 30 - 39 � XL Signature (parent/guardian) __________________________ 3rd Annual Nancy’s Run Rock & Stroll Nancy’s Run Rock & Stroll 3rd3rd Annual Annual Nancy’s Nancy’s RunRun Rock Rock & Stroll & Stroll Saturday, September 6,check 2008 Complete both sides of the form and mail with payable to: Saturday, September` 12, 2009 3rd Saturday, Annual Nancy’s RunWOCA, Rock & 2008 Stroll Saturday, September 6, 2008 6, BadgerLand Striders c/o September Nancy’s Run, P.O. Box 482, Entry Form Oak Creek, WI 53154 Saturday, September 6, 2008 Entry Entry Form Form FEES $17 individual/$50 family of 4 Fees include any applicablefamily taxes. $17 $17 individual/$50 family of 4 offamily 4 FEES Race Dayindividual/$50 - $20 individual/$60 of 4 I$17 knowRace that running a race is potentially activity. Race Day Day - $20-in$20 individual/$60 individual/$60 family family of 4 ofI 4should individual/$50 family of 4 hazardous not enter and run unless(please I am medically able and properly trained. I agree INDIVIDUAL print) Race Day - $20 ofindividual/$60 family of 4 to safely to abide by a decision a race official relative to my ability INDIVIDUAL INDIVIDUAL (please (please print) print) complete the run. I assume all risks associated with running in the event Name __________________________________________ INDIVIDUAL (please including but not limited to falls,print) contact with other participants, the Total enclosed: $____________ for _____ people FEES FEES Entry Form Name __________________________________________ __________________________________________ (First Name name, last name) effects of weather including high heat and/or humidity, traffic and (First (First name, name, last name) last name) risks being known and appreciated by conditions of the road, Name __________________________________________ � Male � Femaleall such Age on race day _______ me. Having read this waiver and knowing these facts and in consideration (First name, lastFemale name) � Male � Male � � Female Age on Age race onday race _______ day _______ of the Wisconsin Ovarian Cancer Alliance accepting entry,WOCA I, for � I am a survivor and would like to learn moremy about myself and anyone entitled to act on my behalf, waivemore and release the � �survivor Agewould on day am � IMale am � Ia a am survivor aFemale survivor and would and likerace tolike learn to_______ learn more about about WOCA WOCA Badgerland Striders running club, the City of Wauwatosa, including Address _________________________________________ � I am a survivor and would like to learn more about WOCA Wauwatosa East High School, Froedtert & the Medical College of Address Address _________________________________________ _________________________________________ Wisconsin, Milwaukee County Parks, race officials, all sponsors, their City/State/Zip ____________________________________ representatives and successors from all claims and liabilities of any kind Address _________________________________________ City/State/Zip City/State/Zip ____________________________________ ____________________________________ arising out of participation by me or any of my minor children in this Phone ( ) ___________________________________ event. I grant permission of all the foregoing to use any photographs, City/State/Zip PhonePhone (pictures, ( )____________________________________ ___________________________________ ) ___________________________________ motion recordings or any other record of this event for any E-mail Address ___________________________________ Special TosaFest races,and starting legitimate purpose. I certifychildren’s that I am an amateur eligible to Phone ( ) ___________________________________ E-mail E-mail Address Address ___________________________________ ___________________________________ 3rd Annual Run Rock & Stroll compete in this event inthe accordance with TAC AAF at 4:00 pm inNancy’s Wauwatosa Eastrules. High Special TosaFest Children’s Races! � CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT Ovarian Cancer Alliance, or WOCA. All proceeds benefit the Ovarian Ovarian Cancer Cancer Alliance, Alliance, orWisconsin WOCA. or WOCA. WOCA is a non-profit organization Ovarian Cancer Alliance, or WOCA. WOCA WOCA is a non-profit is a non-profit organization organization dedicated to overcoming ovarian cancer WOCA iseducation, a non-profit organization dedicated dedicated to overcoming to overcoming ovarian ovarian cancer cancer through support, research dedicated to overcoming ovarian cancer through through education, support, support, research research funding and education, advocacy. through education, support, research funding funding and and advocacy. advocacy. funding and advocacy. Bring the family out T-shirts are guaranteed for all pre-registered participants. Availability limited on race day. To Register � CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT Nancy’s Run, Rock & Stroll is held each year in memory of Nancy Niese, a former Badgerland Strider, who lost her life to ovarian cancer in 2005 at the age of 64. This event is held to raise awareness and All proceeds benefit the Wisconsin promote about ovarian cancer. All proceeds Alleducation proceeds benefit benefit the Wisconsin the Wisconsin Adult T-shirt Size (check one): � S � M � L � XXL (add $2) � CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT Bring the family out Bring Bring the the family family out out for a day of fun and Bring the family out for for a day a day of of fun fun and and help make aofdifference! for a day fun and help help make make a difference! a difference! help make a difference! This event would not be possible without your support. �� CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT CUT � CUT ALONG ALONG LINE LINE AND AND INCLUDE INCLUDE FORM FORM WITH WITH PAYMENT PAYMENT In Loving Memory Feet Sports, September 3 - 5. I am participating in honor of: ________________________ E-mail Address ___________________________________ Saturday, September 6, 2008 am Iparticipating infield. honor of:________________________ soccerin Awards given to all ISchool am participating honor in honor of: of: ________________________ I am participating in memory of: ______________________ IIchildren am Iparticipating participating honor of:of: ________________________ whoin finish. Entry Form am participating in memory in memory ______________________ of: ______________________ am in memory of: Check one: � 5K run � 2 mile walk FEES ICheck am participating in memory of: ______________________ • Under -¼ Check one: one: �age 5K�6 run 5K run �mile 2 mile � 2 walk mile walk Adultindividual/$50 T-shirt Size (checkfamily one): �ofS 4 � M � L � XL $17 Check one:T-shirt �Size 5K-Size run � 2 one): mile walk Adult Adult T-shirt one): � ��S(add M �$2) M � L �� • Ages ½(check mile � SXXL Race Day7-12 - $20(check individual/$60 family of 4 L XL� XL � XXL � XXL (add $2) (add Adult T-shirtParent Size (check one):be�present S � M with � L$2) � XL NOTE: must child Signature (parent/guardian) __________________________ � XXL (add $2) INDIVIDUAL (please print) Signature Signature (parent/guardian) __________________________ to (parent/guardian) sign waiver if__________________________ registering on day Complete both sides of the form and mail with check payable to: of race. Signature (parent/guardian) __________________________ Name __________________________________________ Complete Complete both sides both of sides theNancy’s ofform the form and mail and with mail check with check payable to: to: BadgerLand Striders c/o Run, WOCA, P.O. Boxpayable 482, (First name, last name) BadgerLand BadgerLand Striders Striders c/o Nancy’s c/o Nancy’s Run, Run, WOCA, WOCA, P.O. Box P.O. 482, Box Oak Creek, WI 53154 Complete both sides of the form and mail with check payable to: 482, Oak Creek, Oak Creek, 53154 WI c/o 53154 � Male �WI Female Age on race day _______ BadgerLand Striders Nancy’s Run, WOCA, P.O. Box 482, Total enclosed: $____________ for _____ people Special Oak Creek, WIThanks 53154 Total Total enclosed: enclosed: $____________ $____________ for _____ for _____ people peopleWOCA � I am a survivor and would like to learn more about Fees include any applicable taxes. Our special thanks to all of the sponsors, volunteers and Total enclosed: for _____ people Fees include Fees include any $____________ applicable any aapplicable taxes. taxes. Iparticipants know that running racegiven is potentially hazardous I should Address _________________________________________ whoinhave their time andactivity. donations. enter andrunning run unless am able hazardous and properly trained. I agree Fees include any applicable Inot know I know that that running in aI race in medically ataxes. israce potentially is potentially hazardous activity. activity. I should I should This event would not be possible without support. to abide a run decision a race official relative myyour ability totrained. safely not enter notby enter and and unless runof unless I am medically I am medically able and ableto properly and properly trained. I agreeI agree City/State/Zip ____________________________________ Icomplete know inofa arace potentially hazardous activity. I safely should thearunning run. assume allofis risks associated with running event to abide tothat abide by decision by aI decision race aofficial race official relative relative to my to ability myinability tothe to safely not enter and run unless I assume am medically able and properly trained. Iin agree including but not limited to falls, contact with other participants, the event complete complete the run. the I run. assume I all risks all associated risks associated with running with running in the event the Phone ( ) ___________________________________ to abide a decision a to race official relative to my other ability to safely effects ofbyweather high traffic andthe the including including but not butincluding limited notoflimited falls, toheat contact falls,and/or contact withhumidity, other with participants, participants, complete the run. Iincluding assume all risks associated with running in the event conditions ofof the road, all such risks being and appreciated by effects effects ofAddress weather weather including high heat high and/or heatknown and/or humidity, humidity, traffic traffic and and E-mail ___________________________________ including but notthis limited to falls, contact with other the me. Having waiver and these facts and in consideration conditions conditions ofread the of road, the all road, such allknowing risks such being risks being known known andparticipants, appreciated and appreciated by by effects of weather including high heat and/or humidity, traffic and of the Wisconsin Ovarian Cancer Alliance accepting my entry, I, for me. me. Having read this read waiver waiver and knowing and knowing these facts theseand facts inand consideration in consideration Iconditions amHaving participating inthis honor of: ________________________ the Ovarian road, all such risks being knownwaive andmy appreciated byI, for myself and anyone entitled to act on myAlliance behalf, and release the of theof Wisconsin theof Wisconsin Ovarian Cancer Cancer Alliance accepting accepting entry, my entry, I, for me. Having read this waiver and knowing these facts and in consideration Badgerland Striders running club, the City of Wauwatosa, including myself myself and anyone and anyone entitled entitled to act to on act my on behalf, my behalf, waive waive and release and release the the I am participating in memory of: ______________________ of theBadgerland Wisconsin Ovarian Cancer Alliance my College entry, I,of for Wauwatosa East High School, Froedtert &accepting the Medical Badgerland Striders Striders running running club, the club, City the of City Wauwatosa, of Wauwatosa, including including myself and anyone entitled toSchool, actParks, on Froedtert my behalf, waive and release the of Wisconsin, Milwaukee County race officials, sponsors, Wauwatosa Wauwatosa East East High School, & the& Medical theall Medical College College oftheir Check one:Striders � High 5K run �Froedtert 2 mile walk Badgerland running club, the City ofrace Wauwatosa, including representatives and successors from allParks, claims and liabilities ofsponsors, anytheir kind their Wisconsin, Wisconsin, Milwaukee Milwaukee County County Parks, race officials, officials, all sponsors, all Wauwatosa East Highand School, Froedtert &ofthe Medical College of arisingrepresentatives out of participation by me or my this representatives and successors from all from claims and liabilities and liabilities anyin ofkind any kind Adult T-shirt Sizesuccessors (check one): �any S all �claims Mminor � children L of� XL Wisconsin, Milwaukee County Parks, race officials, all sponsors, their event.arising Iout grant permission ofby allme the toof use any photographs, arising of out participation of participation by orforegoing me any or of any my minor my minor children children in thisin this � XXL (add $2) representatives andrecordings successors all claims and of for any kind motion pictures, orfrom any other record ofliabilities this event any event. event. I grant I grant permission permission of all the of all foregoing the foregoing to use to any use photographs, any photographs, arising out of pictures, participation by me or any of myrecord minor children this legitimate purpose. I certify that Ior am an other amateur and eligible toinany motion motion pictures, recordings recordings or any other any record of this of event this event for for any Signature (parent/guardian) __________________________ event. I grant permission of all foregoing useand any photographs, compete inpurpose. this event in accordance with TAC AAF rules. legitimate legitimate purpose. I certify I certify thatthe I that am an I am amateur antoamateur eligible and eligible to to motion pictures, recordings or any other record of this event for any compete compete in thisinevent this event in accordance in accordance with TAC with AAF TAC rules. AAF rules. Completepurpose. both sides of thethat form and withand check payable legitimate I certify I am anmail amateur eligible to to: compete in this event in accordance with TAC AAF rules. BadgerLand Striders c/o Nancy’s Run, WOCA, P.O. Box 482, Oak Creek, WI 53154 F $ R I N ( � � A C P E I I C A S C B O T F I n t c i e c m
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