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WCR Super Hero 5K/Fun Run
Saturday April 11, 2015 Branson Meadows
REGISTRATION FORM
This is a community event designed to bring awareness to the community about Women's Council of REALTORS. Mission statement is: We
are a network of successful REALTORS®, advancing women as professionals and leaders in business, the industry and the
communities we serve. To help support our community and GIVE BACK we are hosting this SUPER HERO FUN RUN. A portion of the
proceeds will go to benefit the CRISIS CENTER....This is an organization designed to help both women and men by giving them a HAND UP
when they have been in delicate situations.
Location:
Race Day Schedule:
Branson Meadows
7:00 am – 7:45 am Packet Pick Up/Late Registration
4562 N Gretna Road
8:00 am 5K Run/Walk
Branson, MO
9:00 am Awards
Awards:
Awards will be given to the top overall male & female plus top
Entry Fees:
3 finishers in each category. We will also have a Best Costume
st
5K - $20 (includes t-shirt & bag if registered by March 31 )
for Male, Female and Child.
Day of Race - $25 (t-shirt & bag while quantities last)
*Under 11
*12-14
*15-19
*20-29
Family Registration $60 (family of 4, all must live in same household)
*30-39
*40-49
*50-59
*60-69
Age 5 & under FREE
*70-79
*80-up
Registration by cash or check. Please make checks payable to WCR Tri-Lakes. Please mail to 5 Paola, Kimberling City, MO
65686 or deliver to any of the following locations: Carol Jones Realtors, Keller Williams Realtors, Tri-Lakes Title & Escrow, please
reference Super Hero Run. You may also register online at www.ozarkraces.com
Last Name/First Name:
_________________________________________
T-shirt Size:
Adult: S M L XL XXL
Youth: S M L XL
Email:
_________________________________________
Amount Enclosed: ____________ Cash Check
Address:
Additional Names: Family Registration
__________________________________
1.________________________________________
City, State: ____________________ ZIP: ______
2.________________________________________
Age: ____ Date of Birth: __________ Sex: M or F
3._________________________________
In consideration of your accepting this entry form, I, the undersigned, intending to be legally bound for myself, my heirs, executors
and administrators, waive and release any and all right and claims for damages I may have against WCR Tri-Lakes, The Shoppes
at Branson Meadows, The Crisis Center, the officials and sponsors of the Super Hero 5K/Fun Run, whether caused by my
negligence or that of WCR Tri-Lakes or the officials, sponsors or volunteers working such Run. I acknowledge that I am aware of
the inherent risks of participation in an athletic event of this type. I assume all risk of injury, whether or not cause by negligence,
and release any claim I may have for any injury that I may sustain. I irrevocably grant full permission to WCR Tri-Lakes to use
photographs, videotapes, motion pictures and/or recordings of me, or any other record of this event for any legitimate purpose.
________________________________________________
Signature (If under 18, parent or guardian must sign)
__________________
Date