CASA 2015 5K Registration Form_Final

CASA
SUPERHERO 5K RACE
Date:
Saturday, May 23, 2015
Race Start: 7:30am (1M Kid Run)
8:00am (5K)
Entry Fee:
$12 pre-registered (Kids 1M Run) $15 Race Day
*$10 for groups of 10 or more for mile only
$20 pre-registered (5K) $25 Race Day
Race Day Registrations: 6:30 to 7:15 A.M.
Guaranteed Shirts by May 13, 2015
Race Location: Harlingen CISD Performing Arts Center, 3217 W. Wilson Rd., Harlingen, TX 78552
 First 200 registered participants will receive a commemorative race t-shirt.

Fruit, soft drinks, and bottled water will be provided for all participants.
 Additionally, prizes will be provided the day of the race.
 Medals awarded to the top female/male 5K run participants in all age categories.
 Medals awarded to all 1M kids (14 and under) participants
 Trophies awarded to the top male and female runners, and best team.
 Categories: 14 and under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+, and TEAM PRIZE
 Teams must have 4 people as minimum, and 8 as maximum.
 For more information,
o Jesse Garcia (956) 572-8721, email: [email protected]
Register online at www.yellowcheetah.com
Register in person at RX Running, Brownsville; Footworks, Harlingen and
Bicycle World RGV Brownsville, Harlingen and McAllen
Complete this entry form and waiver. ONE PERSON PER FORM (make copies as needed). Detach and mail
With check or money order payable to:
CASA
1740 Boca Chica Blvd., Suite 300, Brownsville, Texas 78520
Top of Form
Bottom of Form
Please Print
T-Shirt Size:
S
M
L
First Name _________________________________
Circle One:
Last Name _________________________________
Age on May 23, 2015 ________
Address
Apt. # or Lot # ________
_________________________________
Female
XL
Male
City ______________________ ZIP ___________ Phone # _________________
(sign here) ____________________________________________________________________________
Participant’s Signature (if entrant is under 18 years of age, parent or guardian must sign entry)
WAIVER
If this form is not completely filled out and signed, this form is invalid and will not be registered. I attest that I am physically fit and
assume all risks associated with running/walking, including but not limited to falls, contact with other participants, the effects of the
weather, road conditions, animals, and traffic. Having read this waiver, knowing the facts, and in consideration of your acceptance of my
application to enter in this event, I and anyone entitled to act on my behalf, waive, release, and discharge CASA and all sponsors,
their representatives, and successors from all claims or liabilities arising out of my participation in this event even though that
liability may arise out of ordinary negligence or carelessness on the part of any person named in this waiver.
Donations are gladly accepted.