this link - Spring Grove Area School District

Spring Grove National Honor Society
presents
Pi Day 5k
March 14, 2015
3.1415 miles Race & Walk
All proceeds from this race will benefit SG Students
traveling to Europe for an educational trip in July 2015
Course:
The race starts and ends at the Practice Track behind the S.G. Intermediate
School: 1480 Roth’s Church Road, Spring Grove, PA 17362.
9:26:53 AM (rain/snow or shine)
7:00-9:00 AM at S.G Practice Track behind Intermediate School.
$20.00 before 1/14/15 (includes tech shirt)
$25.00 from 1/16/15 to 2/14/15 (includes tech shirt)
Start Time:
Packet Pick up:
Pre-Register:
Information:
Any questions please email or call:
[email protected] 717-324-6739
Fill out the information below, detach, and mail to the address:
Spring Grove National Honor Society/Pi Day 5k
Attn: B. Hoffnagle/K. Mensinger
1490 Roth’s Church Road
Spring Grove, PA 17362
-------------------------------------------------------------------------------------------------------------------Name____________________________________
(First)
(M. I.)
Age: ____ Male/Female
(Last)
(Circle one)
Address___________________________
Phone #____________________
___________________________
Adult T-Shirt size: S M L XL
(Circle one)
E-mail address: _____________________
Youth T-Shirt size: S M
L
(Circle one)
***Extra tech shirts will NOT be available for
purchase day of race***
Registration Fee
Donation
Total Amount Enclosed
$______
$______
$______
Make checks payable to Spring Grove High School
I assume all risks associated with running in this event including, but not limited to, falls, contact with other
participants, the effects of weather, traffic and the conditions of the road, all such risks being known and appreciated
by me. Having read their waiver and knowing these facts and in consideration of your accepting my entry, I hereby
and forever release the Spring Grove School District, race officials, volunteers and all sponsors, their representatives
and successors from any and all claims or liabilities of any kind arising out of my participation in this event. I grant
permission to all the foregoing to use any photographs, motion pictures, recording, or any record of this event for any
legitimate purpose.
Participant's Signature:____________________________________________________
(
If the participant is under 18, the parent/legal guardian must sign)