First Annual Run for the Warriors
Fundraiser to benefit Averill Park Indoor Track and Friends of Algonquin Athletics
5K Run/3K Walk
Sunday, May 17, 2015
9:00 a.m.
Algonquin Middle School, Averill Park
Runners and walkers of all ages and abilities are welcome
Show your Warrior pride by wearing blue and gold
Find us on Facebook:
Run for the Warriors 5K
Packet pick-up day of run beginning at 7:30 a.m.
Awards to top three overall male and female finishers and top male and female by age group
$25 Race Registration (must be received by May 10)
$30 Day-of Registration
http://aprunforwarriors.weebly.com (for information and online registration)
Please make checks payable to: Algonquin APO. Send form and check to: Ms. Ann Lanoue, Run for the Warriors,
Algonquin Middle School, 333 Route 351, Averill Park NY 12018. Forms with payment must be received by May 10.
Name _____________________________________________
T-shirt size:
Address ____________________________________________
T-shirt guaranteed for registrations
received by May 1.
City __________________________ ST ______ ZIP__________
Age _______
Sex _______
Email________________________________________
Event:
Adult: S M L XL XXL
__5K Run
Phone______________________
__ 3K Walk
$25 Race Registration ($30 Day of Registration)
Registration Cost: ______
I would like to make an additional contribution of:
$5
$10
Other: _____
Total enclosed: _______
In consideration of accepting this entry for myself or for the person that I am registering, I, the undersigned, intending to be legally bound hereby,
for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against this event, all
towns/cities it occurs in, the event staging facilities, and any sponsors, as well as any person involved with this event. I fully understand that I, or
the person I am responsible for, will be subjected to roads and trails that may have uneven terrain, rocks, roots, and other obstacles, but that I am
physically fit and have sufficiently prepared for this race. My physical condition has been verified by a licensed medical doctor. I hereby grant full
permission for the event to use any photos, videos, or any other record of this event for any purpose whatsoever. Furthermore, I understand that
my entry into this event is NON-REFUNDABLE and that no refunds will be issued regardless of reason, which includes even if the event is not held.
Signature____________________________________________ (if under 18 Parent/Guardian must sign)