Download Report

BREMEN HIGH SCHOOL
BUNNY HOP 6K
April 19th at 9a.m.
The inaugural Bunny Hop 6k is a race located in Midlothian that will help to
fundraise for the cross country running programs at Bremen High School. All
proceeds go directly to the programs, which helps to provide equipment, uniforms,
and other items that will help the runners be successful. There will be special
additions to the race that will make this a unique and fun experience. Such events
will include a Beat the Bunny competition and other eggs-tra surprises. The race
will run through the streets of Midlothian and will start at 9 A.M. sharp on the track.
There will be a 6k race with a 2 mile walk option. Please meet at the High School to
check in by 8:30 A.M the latest. Race fee includes a shirt and race goodie bag. Please
return the bottom slip to the Main Office at Bremen High School or register
online at https://www.signmeup.com/103854.
*There is a service fee for online registration ($1.25).
For more information, email [email protected] or call (708) 371-3600 ext. 3246
-------------------------------------------------------------------------I would like to participate in the race for $30 dollars ($40 if you register the day of the race). This
includes a shirt and a race goodie bag.
Name:__________________________________
Phone Number:______________________________
Address:________________________________
City:_________________
Check One:
6K Race
2 Mile Walk
6K Race without t-shirt
Zip:________________
Date of Birth:____________________________
Price: $30.00
Price: $30.00
Price: $23.00 ($30.00 if you register the day of the race)
T Shirt Size S M L XL XXL NA
Waiver and Release
I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a
race official relative to my ability to safely complete the course. I assume all risks associated with running in this event, including, but not limited to: falls, contact with other
participants, the effects of weather including low temperature/high heat and/or humidity, traffic and conditions of the road, all risks known and appreciated by me. Having
read this waiver and knowing these facts and in consideration of you accepting my entry, I, for myself, and anyone enlisted to act on my behalf, waive and release Bremen
High School, contributors and donors, and all sponsors and individuals associated with this event, their representatives and successors, from all claims and liabilities of any
kind arising out of my participation in this event, even though that liability may arise out of carelessness or negligence on the part of the persons named in this waiver. I
grant permission to Bremen High School, and its authorized agents, to use my name and photographs, videotapes, motion pictures, recordings or any other recording of
my participation in this event for legitimate purposes
I understand and agree to the waiver and release
Signature:_______________________________________________
Please return this form in an envelope to: Bremen High School ~15203 S. Pulaski Road, Midlothian, IL 60445~ C/O Rybak