THE GRACE DAY SCHOOL
FIFTH ANNUAL 5K RUN FOR READING
AND ½ MILE FUN RUN
In Honor of Jason Massett
Sunday, May 18, 2008
Wantagh Park, Merrick Road
Children’s Race: 8:30 AM
Adult Race: 9:15 AM
Check-in begins at 7:00 AM for all races
Awards to top overall male and female runners, as well as 1st, 2nd and 3rd place in each age category
(14 and under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and over)
PRE-REGISTRATION
Mail in your registration form along with your entry fee by May 1, 2008 to:
5K Run for Reading c/o Grace Day School, 23 Cedar Shore Drive, Massapequa, New York 11758
Please make all checks payable to Grace Day School Capital Fund
5K Runners and Untimed Walkers: $17.00 (includes t-shirt, refreshments and more)
1/2 Mile Fun Run for Children: $7.00 (includes a participation medal)
Applications can also be downloaded at gracedayschool.org or www.lirunning.com
DAY OF EVENT REGISTRATION
Day of race registration and check-in will open at 7:00 AM near the start of the race.
T-shirts are not guaranteed for race day registration · All registrations must be completed by 9:00 AM.
Runners and Untimed Walkers: $20.00 · Children: $10.00
PRE-REGISTRATION FORM
First Name: ______________________________________________________
Last Name: ______________________________________________________
Address: ______________________________________________________
City/State/Zip: ______________________________________________________
Daytime Phone: ______________________________________________________
Emergency Contact: ______________________________________________________
Age: _____________________ Male: _______ Female: ______
Grace Family: ___ Yes ___ No ___ Fun Run ___ 5K
Adult T-Shirt Sizes: S M L XL
Waiver:
Please accept my entry in the 5K Run (the “event”) on Sunday, May 18, 2008. My fee of $_______ is enclosed. In consideration of my participation in the event, I, for myself, my heirs, personal representatives and assigns hereby unconditionally and forever release, waive, discharge and covenant not to sue any of the sponsor(s) of the event, including, without limitation, Grace Day School, the State of New York, the County of Nassau, the Nassau County Department of Parks and Recreation, the Nassau County Police Department, the Town of Hempstead, Wantagh Park (collectively “Event Sponsors”), and their respective trustees, officers, agents, and employees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury (including death) that may be sustained by me, or to any property belonging to me, while participating in the event. To the best of my knowledge, I am not aware of any physical disability or health-related reasons or problems that would preclude or restrict my participation in the event. I am fully aware of the risks connected with the event, and I hereby elect to voluntarily participate therein, and to voluntarily assume full responsibility for any risks of loss, damage, or injury (including death) that may be sustained by me, or any loss or damage to property owned by me, as a result of my participation in the event. It is my express intent that this Waiver shall bind my family, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be deemed as a release, waiver, discharge and covenant not to sue the Event Sponsors, and their respective trustees, officers, agents and employees. I hereby grant permission to any and all of the forgoing organizations and instrumentalities to use photographs, videotapes, motion pictures, recordings or any other record of this event for any other purpose whatsoever.
Important: Participants under the age of 18 must have this form signed by a parent or legal guardian.
SIGNATURE: __________________________________________________ DATE__________________
FOR MORE INFORMATION VISIT US AT WWW.GRACEDAYSCHOOL.ORG OR CALL 516-798-1122
