colour splash

COLOUR SPLASH
2016
5KM WALK/RUN
Name:
___________
Date of Birth: __________________
Address:
_____
Gender:  Female
 Male
Email:
_______________________Telephone:
Registration Fee:
Adults: (over 13)
Youth: (7-13)
$40
$50
$20
$25
before April 15
after April 15
before April 15
after April 15
6 & Under free when accompanied by a paying
adult
**Youth and Adults will get a Colour Splash Tshirt, sunglasses and bandana with paid
Registration Fees**
Extra Swag!
Sunglasses
$5 _______
Bandana
$5 _______
T-Shirts:
$10 _______
Youth S___ M___ L___ XL___
Adult
S___ M___ L___ XL___
T-Shirts:
$10 _______
Adult 2XL _____ 3XL_____
Shirt Size:
Youth S___ M___ L___ XL___
Adult
S___ M___ L___ XL___ 2XL___ 3XL___
ORDER YOUR POST-RACE
LUNCH!
$5 x ______
Please send registration form and
payment to:
Colour Splash 2016
C/O 513 Highfield Crescent
Weyburn, SK S4H 0R8
Registrations may be made by cash or cheque. Make
cheques payable to: WEYBURN SYNCHRO STARS
Includes hot dot or hamburger,
drink & bag of chips
Children Under 6 Accompanying you:
Name ____________________ Age________
Name ____________________ Age________
Name ____________________ Age________
I understand that walking and running in races are potentially hazardous activities. I should not enter and run or walk in
the Weyburn Synchro Stars Colour Splash 5K Walk/Run (“the Event”) unless I am medically able and properly trained.
I assume every risk associated with participating in the Event including, but not limited to, falls, contact with Event
participants or volunteers or with vehicles, the effects of the weather, and course conditions, all such risks being known
and appreciated by me.
Signature_____________________________________________Date___________

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