CUT ALONG DOTTED LINE Saturday, July 11, 2015 PLEASE SEND FORM TO DEVELOPMENT CENTERS 17421 TELEGRAPH RD., DETROIT, MI 48219 ATTN: RIVER SPLASH DASH CHECKS PAYABLE TO: DEVELOPMENT CENTERS Saturday, July 11, 2015 Start Times: Registration & Packet Pick Up: 5K Run - 9:10 AM, 1 Mile Fun Walk - 9:12 AM Kid’s Fun Run - 10:15 AM Online registration will be available until Friday July 10th at 12 noon. Register Online at: www.develctrs.org Location: Rivard Plaza – Detroit RiverWalk 1340 Atwater Street, Detroit, MI 48207 Course and Amenities: The Start and Finish lines will be located in the Rivard Plaza. The 5K Course will follow the Detroit Riverwalk Trail and the Dequindre Cut. There will be water, fruit and various food items at the Finish line for all participants. All entries are eligible for prize drawings. Shirts: All pre-registered entrants will receive a high quality short sleeve shirt. Sorry, but we cannot guarantee shirts on race day to late registrants. MF 3rd Register by mail before July . If you mail your form after that date and it is not received by race day, YOU ARE RESPONSIBLE FOR PAYING THE FEE AND YOUR MAILED-IN CHECK WILL BE SENT BACK TO YOU UPON RECEIPT – NO EXCEPTIONS. FIRST NAME Race Day Registration and Packet Pick Up will be from 8:00 AM to 9:00 AM. ZIP/POSTAL CODE BIRTHDATE MM D D Y Y ADDRESS CITY STATE COUNTRY EVENT SELECTION 5K Run PHONE Entry Fees: On or Before June 30: After July 1 or Before July 10th: Race Day: Kid’s Fun Run: SEX LAST NAME 1 Mile Fun Walk $20.00 $25.00 $30.00 -FREE- EMAIL ADDRESS T-SHIRT SELECTION Send Entries To: ADULT SHIRT SIZES SMALL MEDIUM Awards: KID SHIRT SIZES YOUTH SMALL CUT ALONG DOTTED LINE Development Centers Prizes in the form of medals will be given to the 17421 Telegraph Rd., Detroit, MI 48219 5K Run Overall Male & Female Winners, Attn: River Splash Dash Overall Masters Male & Female Winners, and MAKE CHECKS PAYABLE TO: top three Male & Female winners of each group. Development Centers Kid’s Fun Run LARGE YOUTH MEDIUM X-LARGE XX-LARGE XXX-LARGE ADD $1.00 FOR EITHER SIZE YOUTH LARGE DISCLAIMER, WAIVER AND RELEASE OF LIABILITY: I acknowledge that participating in a running style event is a potentially hazardous activity. I agree to abide by any official race rules relative to safely competing in any event. For and in consideration of my participation in the River Splash Dash, scheduled for July 11, 2015, for myself, anyone entitled to act on my behalf, my executors, administrators and assignees, I do hereby release and discharge all event personnel, volunteers, Development Centers Inc, the Detroit Riverfront Conservancy, and the City of Detroit, and any and all sponsors jointly and severally and hold and save them harmless from and against any and all actions, claims, demands, liabilities, loss damage or expense of whatever kind incurred by reason of my participation in the aforesaid event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate. I have read and accept the terms of this waiver. ATHLETE (OR PARENT, IF APPLICANT IS UNDER 18) DATE