ICCS PANTHER RUN 10K, 5K & 1 Mile Color Run When: Saturday October 25, 2014 Race Starts at 7:30 am, 1 Mile Color Run begins at 8:30am Registration opens at 6:30 am Where: ICCS Parking Lot at Ryan and Park Ave. Cost: $25 Registration for 10K and 5K (includes free Dri Fit shirt) $10 Registration for 1 Mile Color Run ($25 with shirt) *not to exceed $75 per family* Mail check and registration to: ICCS PTO 1536 Ryan St Lake Charles, LA 70601 You must register for the 10k or 5k race before October 3rd to receive a free Dri Fit Shirt. Registrations received after October 3rd are not guaranteed a shirt. Questions? Text or call Mellisa Herrera 764-3974 or Julie Standing 302-0157 Name: Age (on race day) : Race: 5K 10K 1 Mile (circle one) Male Female Shirt Sizes Adult Youth (check one) S – M – L – XL – XXL S–M–L (circle one) I know that running a road/trail race is a particular hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide be any decision of the race official relative to my ability to safely complete the run. I assume all risks associated with running in this event, including but not limited to falls, contact with other participants and the effects of weather, including high heat and/or humidity and the conditions of the road. All such risks are known and appreciated by me. Having read the above, I and anyone entitled to act on my behalf, do waive and release Immaculate Conception Cathedral School, Lake Area Runners, as well as their representatives, and sponsors and successors from all claims of liabilities of any kind arising out of my carelessness or on the part of the person named in the waiver. Parents/Guardians must sign for their minor child. Signature Date