6th Annual BOO RUN October 17th, 2014 WHAT: BOO RUN 5K WHEN: October 17, 2014 Race will start at 5:30 pm All students must have a guardian at the Boo Run at all times! PACKET PICK UP: Thursday, October 16th 4:00 – 6:00 pm at Mary Orr Gym WHERE: The race will start and end in Rose Park. Sponsored by: Mary Orr Intermediate School – Physical Education Department ENTRY FEE: $20.00 (September 15th – October 3rd) No Walk up Registration on Day of Race Price Includes – t-shirt, food, water and a screaming great time! NAME: _______________________________________ AGE: _______ GENDER: M F (PRINT – First and Last ) PHONE # _____________________________ E-mail Address: ______________________ SHIRT SIZE ADULT: S M L YOUTH: S M L XL 2XL 3XL (ADD $2.00 for 2XL – 3XL) Method of Payment: CASH or CHECK Make Checks Payable to: Mary Orr WAIVER: by signing below, I know that running or walking a road race is a potentially dangerous activity. I should not enter and participate unless I am medically able and properly trained. I agree to abide by any decision of any race official relative to my ability to safely complete the run or walk. I assume all risks associated with running or walking this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver, and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the City of Mansfield, the Boo Run and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. _________________________________________________________________ Signature (parent or guardian if under 18) DATE:____________________________