ENTRY FEE 5K RUN FUN RUN/WALK 234 W. Oakfield Road, Pensacola, Fl 32503 March 7, 2015, 9 AM FIESTA FILIPINO 2015 Portion of proceeds will be donated to Hospice of Pensacola and Ronald McDonald House Name_____________________________________ Age__________ M ________ F________ Address_______________________________________ City _______________________ State________ Zip ________ Phone ___________________ T-Shirt Size: Adult S ( ) ( ) 5K Run M ( ) L ( ) XL ( ) XXL ( ) ( ) 5K Fun Run/ Walk ( ) $12.00 Pre-registration PACKET PICK UP at ( ) $ 15.00 After March 1 FIL-AM COMMUNITY CENTER 234 W. OAKFIELD ROAD PENSACOLA, FL 32503 FRIDAY, MARCH 6 FROM 10 AM – 7PM / SAT @ 830AM $12.00 by March 1 $15.00 after March 1 T-shirts available to first 100 registrants Awards to the overall male and female and top 3 finishers in each group (For 5K run only) Certificate of Participation to all registrants. Male & Female Divisions 12 and under 13-19, 20-29, 30-39, 40-49 50+ Waiver: In consideration of foregoing, I myself, executors, administrators and assigns, do hereby discharge the coordinators, Officers and Board of Directors of the Filipino-American Association of Pensacola, Inc. and all the sponsors and their representatives and successors from all claims of damages, actions and causes whatsoever, in any matter arising out of my participation. Signature: _____________________ (Parent or Guardian signature for participants under the age of 18) Date ___________________ ========================= MAKE CHECK PAYABLE TO: FIL-AM ASSOCIATION OF PENSACOLA, INC. Register online at www.filampensacola.com or mail it at : P.O Box 36478 Pensacola, FL 32516-6478 Or CONTACT Danny Contreras-850-982-0519 Divine Herrera – 850-292-6009 Filipino-American Association Of Pensacola, Inc. A 501 (c) 3 non-profit organization