Run….Walk….Crawl…Trot….or Roll
Wednesday, September 26th (Community Awareness Week)
Downtown Ionia
Registration begins at 6:30 P.M.
(Meet at the Clock in the middle of the Block!!!)
Race starts at 7:00 P.M.
Entry Fee: $9.99 Individual
$34.99 Family
Pre-Registration Forms are available at Ionia Snap Fitness, Wrecker’s, and Ionia Chamber of Commerce
Prizes will be given for first place and runner up in 6 categories:
Most Purple (must include 2012 Sit. Stay. Heal. shirt)
Best Overall Costume
Oldest Finisher
Youngest Finisher
Most Creative Finish
Most Creative Race Style (i.e. crab walk, backwards, low crawl, etc)
Get Creative and Join the Fun!!!
A portion of the entry fees will be donated to the Ionia Commission on Aging for gas cards, food
cards, and other programs to help Ionia County residents of all ages fight cancer.
Questions? Please contact Ionia Snap Fitness (616) 522-3500
(In case you were wondering, "point" 1 kilometers equals 328.08399 feet (328 feet 11⁄64 inch), roughly the length of one city block!)
Run….Walk….Crawl…Trot….or Roll
Wednesday, September 26th (Community Awareness Week)
Downtown Ionia
7:00 P.M.
Entry Fee: $9.99 Individual $34.99 Family (____cash _____check)
“.1K Purple Run” Permission Slip
_____ Yes, I want to participate in the “.1K Purple Run” fundraiser for Community Awareness Week.
Name: ____________________________________________________________
Address: _____________________________________________________________
City, State, Zip: ________________________________________________________
Telephone: (_____)______________________________________________________
In consideration of this entry being allowed to participate in “.1K Purple Run”, I personally assume all risks in connection with this event. I release
Ionia Snap Fitness, Ionia Chamber of Commerce, Ionia Public Schools and the City of Ionia, the sponsors, and their representatives and successors
from any claim by me or my family, estate, heirs or assigns, for injury or damage which may occur to my participating in this event. I have signed
the release freely and voluntarily and have a full understanding of its contents, having read it in full and acknowledging by my signature that I am
bound by the provisions herein. I understand and intend that I will be legally bound by it. I also confirm that I am physically fit and qualified to
participate in this event. I, the undersigned, or if under 18 my parent or guardian, INTEND TO BE LEGALLY BOUNDED HEREBY WAIVE AND
RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES WHETHER BASED UPON NEGLIGENCE OR ANY OTHER THEORY OF LAW,
which I, my child, ward, or heir and our parents, guardians, heirs, executors, representatives, administrators, and assigns my have against the City
of Ionia, Ionia, Chamber of Commerce, Ionia Snap Fitness and Ionia Public Schools, any affiliates or subsidiaries, officers, directors, shareholders,
agents, employees associated with said corporations and associations, the municipalities or counties in or through which the program or events take
place or are conducted, as well as any other person, entity or sponsor connected with such programs or events, and their heirs, executers,
representatives, administrators, successors, assigns, affiliates, officers, subsidiaries, directors, shareholders, employees or agents, FOR ANY AND
ALL INJURIES INCLUDING DISABILITATING INJURY AND/OR DEATH OR DAMAGES WHICH I, MY CHILD, WARD OR HEIR MAY SUFFER
while taking part in such programs of events as a result thereof. I give permission for my photo to be used for publicity purposes.
X________________________________________________________
Participant/Parent/Guardian signature
Date