Lamar State College-Port Arthur Seahawks Athletics Department 1800 Lakeshore Drive Port Arthur, Texas 77641 2014 LSC-PA Seawall 5K Lamar State College-Port Arthur An equal opportunity/affirmative action institution 5K Run/Walk May 16, 2015 Chip-Timed Event Starts/Finishes at 1800 Lakeshore Drive, Port Arthur, Texas http://athletics.lamarpa.edu/FitnessCenter/ 5KEventRegistration.aspx An equal opportunity/affirmative action institution Packet Pick Up aa Seahawks on the Seawall 5K Run/Walk The 5K Run/Walk begins in front of the Carl Parker Multipurpose Center on the campus of Lamar State College-Port Arthur, 1800 Lakeshore Drive, Port Arthur, TX. The race route travels along Lakeshore Dr. to Martin Field where it turns onto the Seawall. The route continues along the Seawall to the point where it nears Rose Hill Park. Runners will then turn around and return the way they came with the finish line at the front of the Parker Center. Pre-Race Packet Pick Up: Carl Parker Multipurpose Center 1800 Lakeshore Drive Port Arthur, Texas 77641 Up to race day: M-F, 8-12, 1-5 Race Day: Starting at 7 a.m. Name: ________________________________________ Street: ________________________________________ City: ____________ State:________ Zip: __________ Emergency Contact: ____________________________ Emergency Phone: ____________________________ Age on race: __________________ DOB: __________ Event T-Shirts (indicate number, add’l shirts are $15 ea.) Adult: ____S ____M ____L ____ XL ____2X ____3X Child: ____S ____M ____L Kids’ 1K Run/Walk All who register by May 1 will receive an award. FEES Please make checks payable to Lamar State College-Port Arthur, attn. Seahawks 5K Run/Walk, P.O. Box 310, Port Arthur, Texas 77640, or register online at http://athletics.lamarpa.edu/FitnessCenter/5KEventRegistration. In the event of inclement weather, your donation to LSC-PA Athletics will go to fund athletics scholarships at the college. Online at: http://athletics.lamarpa.edu Email: ________________________________________ Awards will presented in the following categories: 5K Run/Walk: 40-49 15-19 8-under 50-59 20-29 9-11 60-60 30-39 12-14 70-plus PAYMENT Lamar State College-Port Arthur Seahawks on the Seawall 5K Run/Walk Phone: __________________________ Gender: M or F AWARDS The Seahawks on the Seawall 5K Run/Walk Registration Fee is $25 until May 1 and guarantees an event tshirt. After May 1, registration fee is $35. 1K Kids’ Run/Walk registration fee is $15. Sea Rim Strider members receive a 10 percent discount when registering directly with LSC-PA. REGISTRATION 5K Run/Walk begins at 8 a.m. Kids’ 1K Run/Walk begins at 8:05 a.m. Chip Timing by Cajun Timing ACKNOWLEDGEMENT I acknowledge that participation in the above-referenced Event has value and benefit for me and that Lamar State College-Port Arthur (“LSC-PA”) is not legally obligated to provide me the opportunity to participate in such Event. In case of injury, accident, or illness, I hereby authorize LSC-PA employees, agents, and volunteers to provide first aid assistance and to use their best judgment in referring me to appropriate health care providers. I assume full responsibility for any ensuing medical or other health provider costs. RELEASE In consideration for value and benefit stated above, I (for myself, my heirs, executors and administrators) hereby release, discharge, and otherwise hold harmless LSC-PA, the Texas State University System, their regents, employees, agents, and volunteers (“the Released Parties”) from and for any claims, demands, liability, lawsuits, injuries (including death), property damage, attorney’s fees, expenses, costs, causes of action, judgments, or awards of any kind or character (“Loss”) that I may sustain or that otherwise may accrue to me as a result of my participation in the Event. I HEREBY EXPRESSLY RELIEVE THE RELEASED PARTIES FOR SUCH LOSS, EVEN IF THE SAME ARISES FROM THEIR OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS THE SOLE OR CONTRIBUTING CAUSE OF MY LOSS. I intend this release to be as broad and comprehensive as possible as I do not desire that the Released Parties have any liability, arising from my participation in the Event and/or my presence on the above-named property or facilities. ASSUMPTION OF RISK I voluntarily choose to participate in the Event and hereby confirm that no one has compelled me to do so. I understand that participation will include strenuous, physical activity and exertion; competition and physical contact with others; that there are inherent risks associated with participation; and that these risks may result in personal injury, property damage or death. On behalf of myself, my heirs, executors and administrators, I voluntarily assume any and all risk of Loss as defined and described in the above Release and Assumption of Risk Agreement. I REPRESENT THAT I HAVE READ AND UNDERSTOOD WHAT IS WRITTEN ABOVE; THAT THE RELEASED PARTIES HAVE MADE NO REPRESENTATIONS TO ME OTHER THAN AS STATED HEREIN; AND, I VOLUNTARILY BIND MYSELF TO THE TERMS AND CONDITIONS STATED. Signature: ____________________________________ Parent/Guardian signature (if under 18): ______________________________________________ Today’s Date: ____________________