registration form in english - Cathedral School of Saint Mary

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.