2nd Annual HOUSE OF HOPE of Florida 5K Run / 2 Mile Fun Walk September 10, 2016 8:00 AM Start Proceeds raised to support City of Hope International, Inc. d/b/a House of Hope of Florida 4738 NE 49th Blvd, Wildwood, Florida 34785 “Breaking the Chains of Addiction” START/FINISH: The House of Hope of Florida campus Wildwood, FL 34785 It is an out/back format along tree-shaded county roads. See course map at www.usaf.org/routes/view.asp?rID=564538 Pre-registration Deadline: August 26th
FEE:
$20.00
Registration after August 26th and day of event Fee: $25.00 Friday September 9th 9:00am-1:00pm Pre-registered Participants Race Packet Pick-Up at Hope Lutheran Church 250 Avenida Los Angelos, The Villages, FL 32162
Saturday September 10th check-in begins at 6:30 am at the House of Hope of Florida campus-pre-registered participant packets can also be picked up.
Age Groups men & women: 14 & under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85 + Individual 5 K awards: Top male and female overall and 1st, 2nd & 3rd each age group M/F (9:45 am) Team competition 5 K Awards (min of 5 runners) 1st 2nd and 3rd place
All participants will be timed and receive completion pins, goody bags and post-race snacks will be provided ______________________________________________________________________________________________________________________ Last Name
First Name
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City
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T-Shirt size S
Date of Birth
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5K Run____ 2.0 mile fun walk_____
____Cash ____Check #_________ Team Name ______________________________________________________________ Mail check to House of Hope of Florida 4738 NE 49th Blvd., Wildwood, FL 34785 c/o K Backstrom House of Hope is a non-profit tax-exempt 501(c)(3)
Online registration@ www.redpointerrunning.com
Release of Waiver and Liability In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my family, my heirs, executors, and administrators, forever waive, release & discharge any and all rights & claims for damages & causes of suit or action known or unknown, that we may have against City of Hope International, Inc. d/b/a House of Hope of Florida, Hope Lutheran Church The Villages and all event officials & volunteers, & all sponsors of the race, & related race events & their officers, directors, employees, agents & representatives, successors, & assigns, for any and all injuries that may be suffered by me in this event. I attest that I am physically fit, am aware of the dangers & precautions that must be taken when running in warm conditions, & have sufficiently trained for the completion of this event. I also agree to abide by any decision of an appointed medical official relative to my ability to safely continue or complete the run. I further assume and will pay my own medical & emergency expenses in the event of an accident, illness or other incapacity regardless of whether I have authorized such expenses. I further understand that there are no entry refunds, exchanges, transfers or rollovers, and that the event may be cancelled due to severe weather conditions. I understand that I accept full responsibility if I bring a dog or push a baby in a jogger/stroller and will agree to start at the back of the starting coral. I have read this waiver carefully & understand it.
Signature (Parent or Guardian If Under 18)
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