Saturday, April 18, 2015 - Atlanta Neighborhood Charter School

Saturday, April 18, 2015
A family-friendly, neighborhood run!
Entry Fees
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1 mile: $20 until 4/12 ($25 on race day)
5k: $25 until 4/12 ($30 on race day)
RWTW tech shirt only, not running: $15
Sponsor a youth runner: $5 donation
Pre-registration: until Sunday 4/12/15 at http://atlncs.org/5k
Race-day Registration: 7:15am - 8:05am
5K run/walk: 8:15am; 1 Mile: 9:00am
Location: Atlanta Neighborhood Charter School (ANCS) Middle School
820 Essie Ave., Atlanta, GA 30316 (in Ormewood Park)
Awards: Presented to top finishers in multiple male and female age groups;
all pre-registered runners receive a race shirt
How to Register
 Make check payable to ANCS PTCA
 Mail completed entry form(s) and check to:
Kerrie Hall, ANCS Elementary Campus
688 Grant St.
Atlanta, GA 30315
 Turn in form in front hall, Attn: Coach Hall
 Go to http://atlncs.org/5k to register online
until 4/12/15, 11:59pm
Blue Wolf: The SHED 
White Wolf: Red Robin Group 
Cub: The Body Well  Honeysuckle Gelato 
JavaVino 
Last Name
First Name
5k
Tech Shirt Only, Not Running
1 Mile
Sponsor a Student
YS YM YL WXS WS WM WL WXL WXXL MXS MS MM ML MXL MXXL
Circle Shirt Size (Youth, Women’s, or Men’s)
Age
(on 4/18/15)
Male
Female
Running with Stroller (5K only)
ANCS Classroom/Advisory or Group Running With
(if applicable)
Address
Friends of RWTW:
City, State and Zip
Email
Phone
Participant’s Signature or Signature of Parent/Guardian for Minor *
Date
* Waiver: In consideration and acceptance of this entry form for the 2015 ANCS Run with the Wolves event, I hereby waive any
and all claims for myself, the minor, and my heirs and assigns against the sponsors, officials, and directors of the event for injury
or illness which may result from my participation or participation of the minor in the event. Minor Medical Waiver: I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor for
the purpose of attempting to treat or relieve any injuries received by the minor from participating in the event. I authorize all
procedures deemed medically advisable in attempting to treat or relieve such injuries. I acknowledge that no warranty is being
made as to the results of any medical treatment. I authorize the use of mine or the minor’s image to be used in materials promoting the Run with the Wolves and/or ANCS.
For ANCS students needing entry fee scholarships, please contact Ms. Dennis or Ms. Larson.
More info: http://atlncs.org/5k
Contact us: runwiththewolves@atlncs.org
PTCA