PO Box 1587 Cranberry Twp, PA 16066 Sponsored by FedEx Ground Every child needs a hero but abused children need superheroes The 7th Annual 1K or 5K Run/Walk ro Every child needs a he ed superheroes ne n but abused childre Schedule of Events Thursday, April 23rd Packet pick up Mojo running 4-7pm Friday, April 24th TBD right now Saturday, April 25th 8:00 AM: Race Day Registration 9:30 am: 1K Fun Run 9:45 am: 5K Run 10:00 am: 5K Walk Benefitting: Saturday, April 25, 2015 9:30 a.m. CASA of Allegheny County North Park Pool Loop (S. Ridge Road at Hemlock Drive) Fees 5K – $25 before 3/31/15 1K – $15 before 3/31/15 Family 5K (up to 5 family members) – $95 before 3/31/15 Family 1K (up to 5 family members) – $55 before 3/31/15 Register by 3/1/15 to receive a tek shirt or by 3/31/15 to receive a t-shirt. Proceeds All proceeds from The Superhero Run benefits CASA Registration close date is April 20th We encourage everyone to come in a costume! www.superherorun.org | [email protected] About Casa CASA (Court Appointed Special Advocates) of Allegheny County works to recruit, train and supervise community volunteers who advocate for abused and neglected children in court and throughout the child welfare system. In our community, there are thousands of children who are active with the Children’s Court system because they have been abused or neglected. Unfortunately, child victims often suffer from a myriad of complex problems and circumstances that, without personalized attention, will sabotage their ability to find safe, nurturing and permanent homes. CASA volunteers and their staff case manager partner together to ensure that every child receives the personalized attention they need and deserve. For more information on CASA, or to find out how you can become a CASA volunteer, please visit www.pgh-casa.org. About Us The Superhero Foundation is a group dedicated to the crusade against child abuse. April is National Child Abuse Prevention Month. We seek to raise awareness for this, and to ensure that every state recognizes April as Child Abuse Prevention & Awareness Month. We also support various regional organizations that help in the battle against child abuse, and those that support the rehabilitation of abuse victims. Our Sponsors RCB ASSOCIATES RCB ASSOCIATES Registration Form All participants must register. One form per family. NAME STREET ADDRESS CITY, STATE, ZIP Please list all participating family members below Name Adult #2 I will be participating in the: (circle one) 1K 5K Runner 5K Walker Child Work Friend CASA D.O.B. (Required) Child Where did you find out about the race? Twitter T-Shirt size YS,YM, S, M, L, XL XXL-$2 xtra Adult #1 PHONE/Email Facebook 5K Walk 5K Run 1K Fun Run Child School Previous Participant Radio Other Child Child Signature (Adult #1) Parent/Guardian signature if under 18 years old Signature (Adult #2) Parent/Guardian signature if under 18 years old I attest that I am physically fit and sufficiently trained to participate in this event. I have full knowledge of the risks involved. Therefore, in consideration of my entry in the Pittsburgh Superhero Run, I for myself, my heirs, my executors and administrators waive any and all rights and claims I may have against The Superhero Foundation, Court Appointed Special Advocates of Allegheny County. (also known as CASA of Allegheny County), North Park and its agents, affiliates and employees, all sponsors, and any individuals associated with this event and will hold them harmless for any and all injuries, damages or death I may suffer in conjunction with this event. I further grant permission for the releasees to use any photographs, moon picture recordings or any other record of the event containing my name, likeness or performance. If a parent is signing on behalf of a minor, then the parent agrees to defend and indemnify any claim brought against them by that minor at any me, arising out of the minors participation in this event. I have carefully read this Release and Assumption of Risk and fully understand its contents. I voluntarily agree to it and realize that this will bind me, my heirs and my personal representatives. As the parent/guardian of participant/s under 18, I agree to all the terms of this release for the child I have registered. Parent or legal guardian must initial if under 18. Subtotal: __YS __YM __S __M __L __XL __XXL Additional Cotton Shirt ($5): __YS __YM __S __M __L __XL __XXL Additional Tek Shirt until 3/1/15 ($10): Additional Donation to the Superhero Foundation: Total (all fees non-refundable, please enclose fee with registration form): Check Payable to: The Superhero Foundation Po Box 1587 Cranberry Twp, PA 16066 Fees (see Front for rates)
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