GVS elf dash 5K/Fun Run Saturday, December 10th, 2016 Green Valley Park What: Run/Walk (5K-3.1 miles) or 1 lap around the track Where: Green Valley Park (3896 Big Hill Road Todd, NC 28684) When: Check-in 8:00-9:30 am Start-time 10:00 am Fun Run 10:15 am 5K Awards: Best elf costume First Place Overall Male/Female Top 2 Male/Female winners: 10 & under, 11-14, 1519, 20-29, 30-39, 40-49, 50 & over. For more information or to register online, First 75 participants registered by 11/23 will receive a t-shirt. Like Santa’s elves we will have fun with our run rain, snow, or shine. Proceeds will go to PTA, which will help all students at go to the registration website: www.raceplanner.com/events and search “GVS Elf Dash” Green Valley School. _________________________________________________________________________________________ First Name: ________________________________________________________________________________ Last Name: ________________________________________________________________________________ Address: __________________________________________________________________________________ City/State/Zip: _____________________________________________________________________________ Day Phone: ________________________________________________________________________________ Email: ____________________________________________________________________________________ I am registering for: Fun Run ________ Age on 12/10/16: ____________ 5k _______ Male/Female Costume Contest: Yes/No In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors, administrators, and assigns, release and discharge Green Valley School, promoters, sponsors, managers, directors, officials, agents, employees, and volunteers from any and all claims of injury or liabilities of any kind, illness, or damages suffered by me as a result of my participation in or traveling to and from this event to be held on Saturday, December 12, 2015. I also give my permission for the free use of my name and picture in any broadcast, telecast, or written account of the event. I further state that I am in proper physical condition to participate in this race. Signature________________________________________________ Date_____________________ Parent Signature (18 & under)__________________________________________ Date_____________________ Entry Fee (nonrefundable): $15 Fun Run & $25 5k Paper registration (must be at Green Valley School front office on or before 12/5/16) Make checks payable to: GVS PTA
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