RELAY FOR LIFE OF KUTZTOWN
5K and 1 Mile FUN RUN
SEND CANCER ON THE RUN!
Saturday, June 3, 2017 - 5K 9:00 AM, followed by Fun Run
Registration begins 8 AM
Kutztown University Cross Country Course
15200 Kutztown Road
Kutztown, PA 19530
DRESS TO SHOW YOUR SCHOOL SPIRIT!
Wheel measured, off-road, grass-surfaced course with hills. Timed by Pretzel City Sports.
Goody Bags, water station, refreshments, indoor restrooms, plenty of free parking. Male and
Female award for the BEST “School Spirit” outfit for both 5K and Fun Run, so be sure to wear
your favorite school or college attire! Be creative!
5K AWARDS: Top Male and Female overall. Plus, top three Males and top three Females in
each category: 0-17, 18-29, 30-39, 40-49, 50-59, 60+
5K ENTRY - $20 (Includes T-shirt with Registration postmarked by May 12, 2017)
($25 from May 13th up to race day with T-shirt while available - $20 without T-shirt)
FUN RUN ENTRY- $15 (includes T-shirt with Registration postmarked by May 12, 2017)
($20 from May 13th up to race day with T-shirt while available) $10 without T-shirt
Checks payable to “The American Cancer Society” mailed to: School’s Out Run About, c/o Kelly
Wagner, P.O. Box 11, Neffs, PA 18065. (All proceeds donated to The American Cancer Society.)
For information, contact Cindy Tobias: 484-866-1513, [email protected]
Last Name___________________________________________
First Name_____________________________________
Address______________________________________________
City_________________ State______ Zip___________
Sex: M F
Age on Race Day:_____
D.O.B.____/____/____
Email__________________________________________
Shirt Size: XS S M L XL XXL
Phone_____________________________________________
WAIVER: I know that running a race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that there may be traffic on
the course and assume the risk for running in traffic. I also assume any or all other risks associated with running or attending the race including but not limited to falls, contact with other
participants, the effects of the weather and the condition of the course, all such risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my
entry fee, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge The American Cancer
Society, any subcontractors & facilities it utilizes, all municipalities in which the race is held, the race committee, volunteers, any and all sponsors including their agents, employees, assigns
or anyone acting for on their behalf, or anyone else associated in any way with the race, from any or all claims or liability for death, personal injury or property damage of any kind of
nature what so ever arising out of, or in the course of, my participation in this event(s). This waiver extends to all claims of every kind or nature what so ever, foreseen or unforeseen,
known or unknown. By entering this race, I am granting permission to Pretzel City Sports and The American Cancer Society to use any pictures or likenesses of me secured at the event in
any way they see fit without review, restriction or compensation I HAVE READ AND UNDERSTAND THIS WAIVER: (if under 18, legal guardian must sign)
Signature _________________________________________________________________________ Date _____/____ / ______
Optional On-line Registration Available at www.pretzelcitysports.com
(nominal service fee applies, closes at midnight the Wednesday before race day)