Paint Your Way 5K Saturday November 8, 2014 10:00 AM Stellos Stadium, Nashua, NH The Paint your way 5K is a fundraising event for the Gate City Charter School For the Arts, a K–8 public school of choice. Our professionally timed event hopes to attract runners and walkers of all skill levels. Along the course participants will have the opportunity to contribute to a few group paintings. The mission of the Gate City Charter School for the Arts is to use an arts-integrated curriculum to produce creative graduates who excel in both academics and the arts. As a public charter school in New Hampshire, the Gate City Charter School for the Arts is a federally recognized non-profit. It receives per pupil funding at less than half the state average for traditional pubic schools. To help ensure the financial sustainability of this wonderful school, we are hosting this 5K. Free Tech T-Shirts to the first 100 registered adults!! Adult Entry: $30.00 (Youth under 14 entry: $10) Shirt orders not available after Oct 10 go to https://www.facebook.com/events/1458640404386897/ or email: [email protected] Sign up online at: https://g2racereg.webconnex.com/PaintYourWay5K2014 Name:_____________________________________________ Gender: M F Age:______ Address:___________________________________________ Phone:________________________ City:______________________ State:____ Zip Code:________ Email:________________________ T-Shirt Size (Adult S/M/L/XL):______________________ Purchase shirt for youth runners add $10 Make check payable to: Gate City Charter School for the Arts, and mail to: Paint Your Way 5K, 5 Henry Clay Drive, Merrimack, NH 03054 I know that running is a potentially hazardous activity. I should not enter or run/walk this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run/walk. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release Gate City Charter School for the Arts, 3C Race Productions LLC, RoadID, the city of Nashua, NH, 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. All fees are nonrefundable. I permit my photograph or likeness to be used for any legitimate purpose and the publication of my race results. ___________________________ ___________ ______________________________ Signature Date Parent's Signature if under 18