Seldens Landing’s INAUGURAL Family Fun Run 2015 Saturday, April 11 @ 9:00am “Stroll and Roll” @ 8:45am @ Seldens Landing OR Bring your friends and family to the 1st Annual SLES Family Fun Run!! Have fun while raising money for the SLES Technology Fund. - Fun Run course is 3 laps @ 2/3 mile per lap for a total of TWO miles (around the perimeter of SLES). - Registration is open to all ages. All children MUST be accompanied by an adult. - Each entrant automatically receives one raffle ticket for Microsoft Prize Pack valued in excess of $500!! (Includes XBOX ONE, Minecraft, Office 365) - Participants will also receive a commemorative T-shirt, a finishers medal (ages 12 and under), and a goodie bag at check-in (water bottle, sponsor coupons/items, racing bib) - Awards given to Top 3 Finishers in each grade (K-5) - Refreshments and entertainment will be provided at the finish line, including live music, face painting, the Chickfil-A Cow, breakfast sandwiches and more! Registration fee is $15 per participant – Register by March 27, 2015 Register online at www.tinyurl.com/sles-funrun2015 or via Registration Form below Questions? Contact Scott Cook at [email protected] or (415) 902-9082 - - - - - - - - - - (Cut and return to SLES with check made payable to Seldens Landing PTA by 3/27/15) - - - - - - - - - Family Fun Run 2015 Registration Parent’s Name: ___________________________ Email: ____________________ Cell: ___________________ Name Grade* Shirt size Registration Fee $ 15.00 $ 15.00 $ 15.00 $ 15.00 $ 15.00 Donation Total T-shirt sizes: Youth: YS YM YL YXL Adult: AS AM AL AXL *Enter N/A in ‘Grade’ field if Participant does not attend SLES. Activity/Event Authorization and Acknowledgement of Risks Please check each box and sign below: □ I understand that my participation in the above Activity/Event is voluntary, that it is not required, and that there will be exposure to activities involving □ □ □ risks of serious injuries. I have read and understand the description of the Activity/Event and I agree to participate and follow the event organizer’s directions. I understand that LCPS will not be responsible for any personal property that may become lost or damaged during this Activity/Event and that LCPS does not provide medical or accident insurance for injuries involved with this Activity/Event. I authorize and give permission for myself to receive first aid, emergency medical care and transport, medical treatment, and all other care deemed reasonably necessary for my health and well-being in case of accident, injury, or serious illness during the Activity/Event. I understand that I will be responsible on a primary basis for any related medical expenses incurred. I understand that all school rules and regulations apply during this Activity/Event, and further understand that I may be responsible for transportation to and from the Activity/Event at the above noted time. I acknowledge that I am over the age of 18, or the legal guardian of the registrant under the age of 18. _____________________________________ Signature of Parent or Guardian
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