5k Run Benefiting Second Chance Pet Rescue • Sponsored by Grand Savings Bank Date: Sunday, March 29 Time: Race day registration opens at 1:30 p.m., 1 mile Fun Run starts at 2:30 p.m., followed by the 5k at 3 p.m. Location: Grand Savings Bank, 1022 S. Main, Grove OK Cost: Register by March 16 for the following prices.* 5k = $25 1 Mile Fun Run = $15 Student discount = $5 off Registration: Register online (scan QR code for website) or complete a paper form and drop off at any Grand Savings Bank location. Awards: Medals will be given to the following. All 1 mile participants will receive a ribbon. 5k overall male & female Top 3 in each age division: 12 and under, 13 - 19, 20 - 29, 30 - 39, 40 - 49, 50 - 59, 60 and over. Shirts: All participants are guaranteed a shirt if registered by the deadline of March 16. Extra shirts will be ordered and given on a first come, first served basis. Additional information: There will be a remote adoption with animals from Second Chance Pet Rescue. Local pet businesses will have booths with products and goodies. There will be “Pictures with Your Pooch” for a small donation. Contact: Kelsie Geister or Marsha Tackkett at Grand Savings Bank 918-786-2203 Chip timing provided by Act Now Promotions. *Those registering after the deadline or on the race day will have $5 added to their race fee. Scan the QR code to register online. www.grandsavingsbank.com www.doitforthedogs.com 5k Run Benefiting Second Chance Pet Rescue Sponsored by Grand Savings Bank Registration Form Register before March 16 for discounted rate! Sunday, March 29 • Grand Savings Bank in Grove • 1 Mile Fun Run at 2:30 p.m. 5k at 3:00 p.m. First and Last Name: _______________________________________________________________________________ Address: ________________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Phone: ________________________________ Email: ____________________________________________________ Gender (male or female): ___________________________ Age as of Race Day: _________________________________ School name and grade (if student): ___________________________________________________________________ A $5 discount is offered to students. Shirt Size (Adult S - Adult XL): _______________________________Payment (cash or check): _______________________ Race fees are $25 for 5k and $15 for 1 mile Fun Run. $5 is added if registered after March 16. Signature* (parent’s signature required for 17 and under):___________________________________Date: ______________ *Signature means you have read the waiver and agree to its terms. Waiver: I understand running is a potentially hazardous activity. I should not enter and participate unless I am physically fit, mentally able and properly trained. I agree to abide by any decision of the race officials relative to my ability to safely complete the run. I certify I am in good health and properly trained to run the distance of this race. I assume all risks associated with running in this event, all risks being known and being appreciated by me, including any risks associated with my dog and other dogs that are participating in the event. I understand my entry fee is non-refundable. Having read this waiver and knowing these facts, and considering your accepting my entry into this running event, I, for myself and my estate, heirs, survivors, descendants and anyone on whose behalf I may act (including all minor children and charges and their estates heirs and survivors), do hereby permanently and forever completely give up, surrender, waive, release and terminate any and all claims or liabilities of any kind, arising in tort, contract or otherwise, against Grand Savings Bank, Second Chance Pet Rescue of Grand Lake, ActNow Promotions/Racing, and their respective officials, directors, trustees, agents, volunteers, employees, sponsors and affiliates arising from my participation in this event, including but not limited to claims arising out of past or future negligence or carelessness on their part. I hereby consent to the use of image in photographs, videos and other recordings for promotional purposes. Friendly, well-socialized dogs are welcome to run/walk with their family. Dogs must be on 6' leash and under human control at all times. Always pick up after your dog; ensure dogs will greet properly, no nose to nose; current vaccinations are required. Ask before greeting and petting other dogs. All walkers/runners with pet assume the liability that their pet is in good health and free from infections and parasites. All pet walkers/runners are required to clean up after their pet and dispose of any and all pet waste properly. Mail or drop off completed form to any GSB location. Visit www.grandsavingsbank.com for a list of locations and addresses. Scan the QR code to register online. Follow Grand Saving Bank for more info! www.grandsavingsbank.com www.doitforthedogs.com