Run for Refugees
St. Alphonsus Parish
3rd Annual 5km Fun Run/Walk
Saturday, June 3rd 2017
Route: Kildonan Park in-park route 510 Main St. Winnipeg
Meeting area & Breakfast Bar at
North Shelters
Finish line at North Garden
Start line at South Shelter
Loop 2.5 times
Details: Race Bib pickup 8:00 am, Prayer 8:45 am, Run 9:00 am
Water station and First Aid available on site
All runners/walkers receive a race bib and a finisher’s medal
Adult runners & walkers (14 yrs +)
Youth runners & walkers (3-13 yrs)
Babes in strollers (no medals available)
Family pack (all family members living in one home)
$20.00
$15.00
Free
$50.00
Registration fees in support of our refugee committee efforts
Deadlines: Registrations by Tue, May 23rd, Sponsorships Mon, May 29th
Registrations & Sponsorship material may be dropped off at St. Alphonsus
Parish Office 341 Munroe Ave (after-hours mail slot available)
Volunteers & Sponsorship Opportunities
Please email our run directors at [email protected] or call 204-667-9580 ext. 3
Sponsorship: Choose your sponsorship level
Package A Your promotional material given to each racer with their race bib
Your promotional material at the sign-in table & water station
Thank you announcement in the parish bulletin
Cost: $55 + you provide your own promotional material
Package B All of package A, plus your name on our official race day signage!
Cost: $110 + you provide your own promotional material. Please ensure your
sponsorship request is in by Monday, May 29th to ensure enough time to
send your name and or logo to our printers.
Sponsorship requests may be made via email [email protected].
If choosing package B, please include your desired name or logo to appear on
signage. You will be emailed an invoice, payment may be sent to St. Alphonsus
Parish 341 Munroe Ave. (after-hours mail slot available)
Your sponsorship will help offset the cost of race bibs, signage, and
participant medals. Thank you in advance for your generosity!
Volunteers: We need volunteers of all ages and abilities!
Water station attendees (sitting, pouring water)
Sign in table attendees (sitting, signing in, and handing out race materials and sponsorship
promotional items)
Breakfast attendees (standing, setting up breakfast area and serving)
Take down crew (standing/ labor tearing down balloons, signage, tables etc.)
Certified first aiders (standing/walking)
Miscellaneous as needed (your flexibility and quick thinking skills are invaluable!)
Please contact the “Run for Refugees” race committee indicating your name
and desired volunteer posting at [email protected]
Run for Refugees Registration Form
St. Alphonsus Parish
3rd Annual 5km Fun Run/Walk
Saturday, June 3rd 2017
Please register by Tuesday, May 23rd 2017. Ways to register:
1. Fill out this form and hand it in with payment to the parish office.
2. Place in an envelope marked “Run for Refugees Registration” and use our afterhours mail slot located at the Munroe office entrance or place it in the collection
basket at church.
3. Hand in at St. Alphonsus school office.
4. Scan and email [email protected]
Late registrations will be accepted up to and on the event date, however as a late
registrant you may not receive a finisher’s medal depending on number of
registrants so please register early!
First Name: _________________________________
Last Name: _____________________________________
Phone: ______________________________________
Email: __________________________________________
Registration Type, Please check one:
Adult runner/walker (14 yrs +) $20.00_____ Youth runner/walker (3-13 yrs) $15.00_____
Family pack
$50.00_____ Babes in strollers (no medals) Free
Please include names of participating family members: Family Name _______________________
First Name: ____________________
First Name: ____________________
First Name: ____________________
First Name: ____________________
Late Registration – Add $5 to your registration type or $10 for family registration.
Payment: please make cheques payable to St. Alphonsus Parish
Amount
__________ Cash
_____ / Cheque
_____
Chq. #
__________
* Please sign waiver on the reverse side of this form *
RELEASE OF LIABILITY (Adult) Waiver:
In consideration of the acceptance of this entry I waive all claims for myself and my
heirs against the sponsors, coordinating groups and any individuals associated with
this event and will hold them harmless for any and all injuries which may result from
my participation.
I hereby give my permission to the media to use my name and photograph on the
parish and/or school websites and promotional materials for future race events
without limitation or obligation.
I certify that I am physically fit for this event and understand the risks involved by
participating in this event.
Participant Signature ____________________ Date ____________
For family registration, please provide signature of head of household
PARENT / GUARDIAN CONSENT FORM AND LIABILITY WAIVER
(Participants 0-17 yrs old)
Participant name: ____________________ Birth Date: ______________
Allergies _______________________________________________________________________________
Please note, breakfast is not guaranteed to be allergen friendly. Please advise
your child to take necessary precautions.
Parent/Guardian Name: ____________________
Home Phone: ____________________
Emergency Phone: ____________________
I ____________________ grant permission for my child ____________________ to participate
in the Run to the Empty Tomb 5k Race/Fun Walk. As parent and/or legal guardian, I
remain legally responsible for any personal actions taken by the above named minor
(“participant”). I agree on behalf of myself, my child named herein, or our heirs,
successors and assigns, to hold harmless and defend the Run to the Empty Tomb
coordinators and affiliate, its officers, directors and agents, or representatives
associated with the event, arising from or in connection with my child attending the
event. I hereby warrant that to the best of my knowledge, my child is in good health,
and I assume all responsibility for the health of my child.
Parent/Guardian Signature: ____________________ Date: ____________________