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 NWSA Save Our Sports 5K
The Niagara Wheatfield Sports Alliance will sponsor our first 5K to raise funds for 15 sports teams that were cut from the NW school budget this year. Our goal is to assist in raising $87, 000 and encourage good community health and participation. Halloween Costumes welcome! “ NO FALCON LEFT BEHIND” When: Saturday, November 1, 2014 10 AM start Where: Niagara Wheatfield HS, 2292 Saunders Settlement Road, Sanborn NY Cost: $20 entrance fee, student runners can be sponsored (see attached sheet). Prizes to top 3 sponsored runners! Runners under 10 Free with paid adult! This USATF sanctioned race will take place along the NW nature trail, beginning and ending on campus. Questions can be directed to 361‐3631 or 215‐3616. Fee includes t‐shirt for first 300 preregistered runners and light refreshments after the race. Awards will be given to top overall male and female finishers and top male and female in each of the following age brackets: 14 and under, 15‐19, 20‐14, 25‐29, 30‐34, 35‐39, 40‐44, 45‐49, 50‐54, 55‐59, 60‐64, 65‐69, 70+. Prizes for best costumes. Race timing by WNY Finish Line and Timing Services. Packet Pick Up: Friday, October 31 from 2:30‐4:30 PM at NWHS or beginning at 8:30 AM race day. Payment and Registration: Checks payable to NWSA can be mailed to NWHS, PO Box 451, Sanborn, NY 14132, ATTN: Jamie Beiter or dropped off at any NW school building and forwarded to the athletic office. Register in person or by mail, Check or cash only, please. Cash____ Check _____ Bib Number ______ Name ___________________________ Male or Female Age on Race Day _______ Address ___________________________ City __________________ Zip __________ Phone _______________ Email ____________________ T‐shirt size S M L XL XXL Please read and sign liability waiver below. Parent must sign for child under 18. I ,the undersigned ,understand that the NWSA Save Our Schools 5K (‘the Event” )sponsored by the NWSA, and held on the grounds of the Niagara Wheatfield Central School District, is an athletic event that should only be engaged in by persons who are physically capable of participation. I also understand and acknowledge that my participation entails risks, including, but not limited to, serious bodily injury or death cause by my actions as well as the acts or omissions or others. I am voluntarily entering the Event and I assume all risks of injury or damage to my person or property resulting in directly or indirectly, wholly or in part, from my participation in the Event. In consideration for, among other things, my being permitted to participate in the Event, I waive, release, covenant not to sue, and hold harmless the District, NWSA and USATF, (which is to include, for purposes of the Waiver, all of the District’s agents, employees, and representatives, along with USATF, its employees, directors, assigns & USATF Certified Officials) of , from, and for any and all claims, suits, or damages of any kind in whole or in part by the District or any other person or thing at the Event even though such claim of liability may arise out of the negligence or fault on the part of the District. I also understand and agree that any sponsor may subsequently use, for publicity or promotional purposes, picture of me participating in the Event without liability or obligation to me. If the participant is under 18 year of age, the undersigned represents and warrants that he/she is the participant’s parent or legal guardian, and has authority and knowledge to make the above representation and execute this Waiver on the participant’s behalf. ____________________________ ___________________ _________________________ ___________ Participant’s Signature Date Parent/Guardian sign if under 18 Date NWSA Save Our Sports 5K Sponsor Form Students may choose to collect a minimum of $20 in sponsors to participate in the race. Please use this form to track sponsor information and money collected. Funds collected for this race will be used to reinstate 15 sport team eliminated this year in the NW school budget. Donations made are tax deductible. Thank you for your generosity! Name Address Phone Sponsor Amount