VISIT: ‘People Helping Haiti’ on Facebook EMAIL: [email protected] CALL: (484) 269-8968 PEOPLE HELPING HAITI: 5K & 1 MILE WALK Saturday, June 13th, 2015 – 9:00 AM – 4891 Penn Ave, Sinking Spring, PA 19608 CAUSE: People Helping Haiti is a community group creating opportunities for caring people to give generously to the desperately needy people of Haiti. LOCATION: 4891 Penn Ave, Sinking Spring, PA 19608; The beautiful campus & surrounding trails of our host, Calvary Bible Fellowship Church. CHECK-IN: On race day, check-in opens at 8:00 am. 5K and 1M will begin at 9:00 am. COURSE: Multi-surface course goes throughout the campus, partially on pavement, crushed limestone, & grass surfaces. Race will be professionally timed by Pretzel City Sports. DETAILS: Runners and walkers (with dogs) are welcome! There will be food, awards, activities, indoor bathrooms, free parking, & bounce house for children 3+ (available after the race). DONATION COST: $25 Early Bird Registration for 5K & 1 Mile Walk paid online at pretzelcitysports.com or by cash/checks made payable to “Harvest International” to directly support People Helping Haiti. Price raised to $30 after May 23rd. 1 Mile Walk participants 10 years & under are free (does not include shirt, can be pre-ordered for $10). All forms/fees wished to be mailed are to be sent to 4891 Penn Ave, Sinking Spring, PA 19608. Support People Helping Haiti rain or shine! Last Name: __________________________ First Name: __________________________ Address: ________________________________________________ City/State: _____________________________ Zip: ______________ Date of Birth: Race: 5K or Gender: Male / / 1 Mile Walk or Female Phone: ___________________ Shirt Size: Adult: S M L or XL Youth: S M or L Email: ______________________________________________ I know that running a road race is a potentially hazardous activity. I also assume any or all other risks associated with running or attending the race including but not limited to falls, contact with other participants, all such risks being known and appreciated by me. I hereby for myself or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge PCS, CBFC, HI, any subcontractors it utilizes, or anyone else associated in any way with the race, from any or all claims or liability for death, personal injury of any kind of nature. By entering this race, I am granting permission to PCS and CBFC to use any pictures or likenesses of me secured at the event in anyway they see fit without review. I HAVE READ AND UNDERSTAND THIS WAIVER. Signature: _____________________________________ Today’s Date: / /2015 (Parent’s signature required, if runner is under 18 years old.) COMPLETE AN INDIVIDUAL FORM FOR EACH PARTICIPANT, PAID OR FREE REGISTRATION. T-SHIRTS ARE INCLUDED WITH ALL PRE-REGISTRATIONS. T-SHIRTS WILL BE AVAILABLE RACE DAY WHILE SUPPLIES LAST.
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