Friday, May 12, 2017 4

3rd annual "Running of the Knights" fundraiser
Kingsley Elementary School field (Rain or Shine)
Friday, May 12, 2017 4:45pm to 7:00pm
Students, Parents and Future Kingsley Knights (Squires), are welcome to
participate. All students MUST be accompanied by an adult.
This is not a drop off event. No refunds are available.
Participants will be able to pick up their t-shirt, race bibs, and any pre-ordered
tickets the week of the event. Watch your email for more details.
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Create signs and noisemakers
to cheer on your fellow
Kingsley Knights!
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Ifyouhaveanyquestions,[email protected]
Pre-Registration Form
$12EntryFeeperstudent/squireincludesoneT-shirt.
Studentsandsquiresmustberegisteredtoparticipate.
FormwithsignedwaivermustbereceivedbyApril17thtoguaranteeaT-shirt.
AftertheApril17thpre-registrationdeadline,theentryfeewillbe$18per
student/squireandT-shirtswillONLYbeavailablewhilesupplieslast.
FamilyName________________________________________________________________________
Email___________________________________________Phone_____________________________
ParticipantName(s)
Shirtsize
GradeLevel
Teacher
Squire
Squire
Squire
Squire
Listeachstudentorsquirethatwillbe
participating.
YouthXS,S,M,
L,andAdultS,
M,L,XL.
Circlethegradelevelforeach
participant.
K12345
K12345
K12345
K12345
ParentscanparticipateforFREEbutcanopttopurchaseawhiteshirt(s)duringpre-registrationonly.
ParentName(s)
ShirtSize
Please return form with signed waiver via backpack mail
marked RUNNING OF THE KNIGHTS. NO CASH.
Make checks payable to Kingsley Home & School.
Returned checks are subject to a $25 NSF fee
Item
Student&SquireEntry(fromabove)
ParentWHITET-shirt
Extras(alsoavailableforpurchaseatevent)
iPadAir2,32GBw/TargusStylusRaffleTicket
fitbitalta(sizeL)RaffleTicket
RaffleTicket
PhotoBoothTicket
Fontano's6"ItalianSub,Chips,Cookie,&Water
Fontano's6"TurkeySub,Chips,Cookie,&Water
Fontano's4"ItalianSub,Chips,Cookie,&Water
Fontano's4"TurkeySub,Chips,Cookie,&Water
Qty
Price
Total
x$12.00
x$12.00
x$10.00
x$5.00
x$1.00
x$3.00
x$7.00
x$7.00
x$5.00
x$5.00
TOTALDUE
Online registration and credit card payments are accepted at
https://sites.google.com/site/runningoftheknights/
PleasereadthisinformationcarefullyandbeawarethatbyparticipatingintheRunningoftheKnightsevent,youwillbeexpresslyassumingtheriskandlegal
liability,andwaivingandreleasingallclaims,forinjuries,damages,orlosswhichyouoryourminorchild/wardmaysustainasaresultofparticipatinginany
activityconnectedwiththeRunningoftheKnightsevent.
Waiver,Release,andAssumptionofRisk
IrecognizeandacknowledgethattherearecertainrisksofphysicalinjurytoparticipantsinthiseventandIvoluntarilyagreetoassumethefullriskofany
andallinjuries,damages,orlossthatmyminorchild/wardorImaysustainasaresultofparticipationintheRunningoftheKnightsevent.Ifurtheragreeto
waiveallclaimsthatIormyminorchild/wardmayhaveasaresultofparticipatingintheRunningoftheKnightseventagainstKingsleyElementarySchool
andKingsleyHome&SchoolAssociation,includingtheirofficials,agents,volunteers,andemployees.IfullyreleaseandforeverdischargeKingsley
ElementarySchoolandKingsleyHome&SchoolAssociationfromanyandallclaimsforinjuries,damages,orlossthatmyminorchild/wardorImayhaveor
whichmayaccruetomeormyminorchild/wardandarisingoutof,connectedwith,orinanywayassociatedwiththisprogram.
Ihavereadandfullyunderstandtheabovewarningofrisk,assumptionofrisk,waiverandreleaseofallclaims.
Parent/GuardianSignature_______________________________________Date____________________
OfficeUseOnly:ProcessDate:________________Check#_____________RecBy:___________