Registration Form Cathedral School of Saint Mary 2016 Eagle Fun Run & Mini Olympics For Fitness, Leadership, and Character Saturday, April 2, 2016 - 8:00 a.m. – 1:00 p.m. Walnut Creek Elementary - 401 W. Braker Ln., Austin, TX 78753 Registration Deadline: Friday March 25, 2016 Registration Fee (100% Participation is Required – This is a required school event for students, in the event they are not available to attend, registration fee is still payable) Child - $5.00 – entitles to participate in 2 events + Competitive Race (Optional) Adults - $8.00 – entitles to participate in 2 events + Competitive Race (Optional) Horseshoe Tournament (Adults only) - $3.00 individual entry fee Please fill out all information for each family member who will participate in any race/event. Choose Races/Events Full Name From List Attached Signature of Participant (please print) Student (List two per registration fee + (or Parent/Guardian if under 18) Last, First, MI Grade Gender Competitive Race (Optional) )* for RACE WAIVER AGREEMENT 1. M / F 2. 1. 3. 1. M / F 2. 2. 3. 1. M / F 2. 3. 3. 1. M / F 2. 4. 3. 1. M / F 2. 5. 3. 1. M / F 2. 6. 3. Address: Total Registration Fee : $________ _____________________________________________________ City: _____________________________ State: ________ Zip: ________ Phone: ( _____) ____________________ Email: __________________________________________________ Waiver of Claim (Must be signed and submitted in order to participate in event): In the consideration of acceptance of this entry I, the undersigned, assume full and complete responsibility for any injury or accident which may occur during my participation in the races/events, or while I am on the premises or en route to or from this event. I hereby release and hold harmless Cathedral School of Saint Mary, and all sponsors, promoters and all other persons and entities associated with this event from any and all injury or damage whether it be caused by negligence of the sponsor or promoters or other persons or entities associated with this event. Signature (participant over age 18 or guardian): ______________________________________________________ Please complete the registration form and submit with payment to: Cathedral School of Saint Mary 910 San Jacinto Blvd., Austin, Texas 78701 Please make checks payable to: Cathedral School of Saint Mary 2016 Eagle Fun Run Races/Events 1. Early Childhood (Pre-K 3, Pre-K 4 and Kindergarten): A. Bean Bag Race B. Potato Sack Race C. 25 yd. Dash Competitive Race – 220 Run 2. 1st, 2nd and 3rd Grade: A. Bean Bag Race B. Potato Sack Race C. 75 yd. Dash Competitive Race – 220 Run 3. 4th and 5th Grade: A. Basketball Knockout B. Softball Throw for Distance C. 75 yd. Dash D. Potato Sack Race 4. 6th, 7th and 8th Grade: A. Basketball Knockout B. Softball Throw for Distance C. 75 yd. Dash D. Potato Sack Race Competitive Race - 1 mile Relay 5. Adults (includes High School): A. Three-Legged Race (couples only) B. Potato Sack Race C. Softball Throw for Distance D. 75 yd. Dash E. 1 Mile Run Competitive Race - 1 mile Relay 6. Horseshoe Tournament (Adults Only): $3 individual entry fee Competitive Race - 1 mile Relay Competitive Race is optional to those participants who paid to compete in two races/events. Important Event Information FUN RUN STARTS at 8:00 a.m. Breakfast & Lunch will be sold during the event. Horseshoe Tournament will take place through the event day. Ceremony for 1st, 2nd & 3rd place and event participation ribbons will take place during the event. Raffle will take place during the event. You Must be Present to Win.
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