Pre-Register NOW for
Kingsley’s 1st
Running of the
Knights
How many laps can you run, jog, or walk in 10 minutes
around a 400 meter course?
We’ve got grade level heats and even a special heat for our Future
Kingsley Knights (Squires). Students, parents, and future Kingsley
students (Squires) are welcome to participate.
Date: Friday, May 15,2015
5-7pm (Rain or Shine)
Where: Kingsley Elementary School Field
CHALLENGE: The grade level (Kdg-5) that has the highest
percentage of participation at the April 24th deadline will
get to eat lunch outdoors and an extended recess! T-shirts, race bibs, and pre-ordered raffle tickets will be
distributed through backpack mail the week of the event
All students MUST be accompanied by a parent or
guardian. This is not a drop-off event.
If you have any questions, please feel free to contact us at [email protected].
Pre-Registration Form
Registration form with signed waiver must be
received by April 24th to guarantee a T-shirt.
All Kingsley students & Future Kingsley
students must be registered.
$10 Entry Fee per student includes one t-shirt
Parents are welcome to participate for free
th
After the April 24 pre-registration deadline, entry fee will be $15 per student.
T-shirts will ONLY be available while supplies last.
Family Name _________________________________________________________ Email ___________________________________________________ Address ________________________________________________________________________________Phone __________________________________ For each participant, please select correct grade level and indicate t-­‐shirt size. Shirts are available in Youth XS, S, M, and L, and Adult S, M, L, and XL. Grade level Shirt size Participant 1 Name _________________________________ Squire K 1 2 3 4 5 _____________ Participant 2 Name _________________________________ Squire K 1 2 3 4 5 _____________ Participant 3 Name _________________________________ Squire K 1 2 3 4 5 _____________ Participant 4 Name _________________________________ Squire K 1 2 3 4 5 _____________ _____________________________________________________________________________________________________________________ Please return form with signed
waiver via backpack mail
marked RUNNING OF THE
KNIGHTS.
Checks ONLY, please. Make
checks payable to Kingsley
Home & School.
Returned checks are subject to
a $25 NSF fee
Student & Squire entry Single Raffle Tickets: iPad Mini 2 Raffle Tickets: ___________ x $10 = $____________________ ____________ x $1 = $____________________ ___________ x $10 = $____________________ TOTAL ENCLOSED $_____________________ Please read this information carefully and be aware that by participating in the Running of the Knights event, you will be expressly assuming the risk and legal liability, and waiving and releasing all claims, for injuries, damages, or loss which you or your minor child/ward may sustain as a result of participating in any activity connected with the Running of the Knights event. Waiver, Release, and Assumption of Risk I recognize and acknowledge that there are certain risks of physical injury to participants in this event and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss that my minor child/ward or I may sustain as a result of participation in the Running of the Knights event. I further agree to waive all claims that I or my minor child/ward may have as a result of participating in the Running of the Knights event against Kingsley Elementary School and Kingsley Home & School Association, including their officials, agents, volunteers, and employees. I fully release and forever discharge Kingsley Elementary School and Kingsley Home & School Association from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program. I have read and fully understand the above warning of risk, assumption of risk, waiver and release of all claims. Parent/Guardian Signature _______________________________________Date ____________________