5K and 1 Mile Fun Run/Walk

5K and 1 Mile Fun Run/Walk
Saturday, September 17, 2016
Help Mercy CCPC provide hope and support
in a celebration of life!
When: Sat., September 17, 2016, 9 a.m. (Registration at 7:45 a.m.)
Where: Riverview Christian Fellowship and Laurel Run Park, 3301 Stoudts Ferry Bridge Rd, Reading, PA 19605
Why: To support Mercy Community Crisis Pregnancy Center in Reading, PA
Hosted by: Mercy CCPC and local advocates for women and men experiencing unplanned pregnancies
Registration Cost: Before September 1: Individual $25, Team/Family $75 (nuclear family or team of 4 individuals)
After September 1: Individual $30, Family $90
Awards: Top 3 male and female overall and top three male and female by age division:
(7 and under, 8-10, 11-13, 14-18, 19-29, 30-39, 40-49, 50-59, 60+)
**T-Shirts only guaranteed to those preregistered before September 1.
Mercy Community Crisis Pregnancy Center in Reading, PA, presents Lovin’ Life 5K and 1 Mile Fun Run/Walk to support
local women and men who find themselves in unplanned pregnancy situations. MCCPC provides volunteer peer counseling
and support services to give clients alternatives to abortion and hope so that they can choose to love life. This is a great
nonprofit to support, but it’s also a great 5K event for the novice and competitive runner. Our race director has a decade of
race directing experience for races of over 500 participants and has designed a great course with a first rate team of
volunteers to make certain you have a great experience.
**Online Registration Available at active.com**
(nominal service fee applies, closes at midnight, Wed., September 14)
Name____________________________________________ Age on race day:_______ Sex:_______ Circle one: 5K 1 mile
(youth S, M, L)
_____________________________________________________________________ Shirt Size: (S, M, L, XL, XXL)
Street
City, State, Zip
Phone_________________________Email________________________________________
If a family, list family members below including:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
age
________
________
________
________
sex
______
______
______
______
shirt size
_______
_______
_______
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Please make checks payable to:
Mercy CCPC
105 S. 5th Street
Reading, PA 19602
Contact Colin Gordon:
610.587.9738
[email protected]
ALL RUNNERS MUST READ AND SIGN:
In consideration of being allowed to participate in this event sponsored by Mercy Community Crisis Pregnancy Center, and intending to be legally
bound, the undersigned acknowledges and fully understands that each participant will be engaging in this activity that involves risk of injury, which
might result not from his/her own actions, inactions or negligence of others, or the conditions of the premises. Further, that there may be other unknown
risks or risks not reasonably foreseen at this time. Hereby, for myself, my heirs, my executors, and administrators, I do waive and release any and all
claims against Mercy Community Crisis Pregnancy Center, volunteers, sponsors, owners, and tenants of the premises for any injuries that may be
incurred by me at this event. I acknowledge that I am in good physical condition for this event and am fully insured for any injury or illness that may
occur during this event and give permission for use of my name and/or picture in publicity related to this event.
The undersigned has read the above waiver and release and understands that all substantial rights have been given up in voluntarily signing it.
________________________________
Signature (Parent/legal guardian if under18)