GC for a Cause
SATURDAY
JUNE 12, 2010
PATCHOGUE VILLAGE-SHORE FRONT PARK-PAVILLIAN, Smith Street, Patchogue
Start Time
9:00
a.m.
Start Location:
Shore
Front Park
Pavillian
Fees:
Student Rate: $15.00
Adult/Nonstudent Rate:
$25.00
Register on-line at
Fun
Stuff:
*Music by Oregon’s own JP Experience under the
Pavillian
Timing, Race day logistics & Finish Line by Island
Timing
Waiver and Release:
I
acknowledge that participating in a 5K race can be potentially hazardous
activity. I am medically able and
properly trained to participate. I
assume all risks associated with running/walking in this event. In consideration of the acceptance I
hereby waive on behalf of my heirs, executors and assigns, all claims of any
nature arising from my participation in the HANDS FOR HOPE 5k Race/Walk for
Charity, and do hereby release THE HANDS FOR HOPE Organization,
Patchogue-Medford Schools, their workers, officials and volunteers from any
claims or liabilities of any kind arising from my participation in this
event. I agree to abide by all the
rules to participate.
Signature___________________________________
Parent Signature
____________________________
(required of entrants under 18)
Date:______________________________________________