6th Annual 5K Fun Run - kaaawa elementary school website

6th Annual Ka`a`awa Elementary School
5K Family Fun Run/Walk
Kualoa Ranch- Ka`a`awa Valley * Surf Spot Entrance * Bring your camera for awesome views!
Saturday, April 25, 2015
8:00 - 10:00 a.m. Check in 7:00 a.m.
Watch for road signs on directions!
1. Complete legibly and completely. Everyone on the course must be registered. Additional forms are available at
Ka`a`awa Elementary School or our website at www.kaaawa.k12.hi.us. If you have any questions, call 237-7757 or email
kaaawapcnc@gmail.com. You may also register online at http://active.com/.
All applications received in the office by Friday, March 20, 2015 to receive a free Ka`a`awa 5K Fun Run T-Shirt. All applicants
will receive a free bottle of water. Check-in station will use the first name on the application form if more than one applicant is
registering. If you need additional space, use another application and attach. All participants must leave property by 10:30 a.m. or
cars will be locked in.
First Name:_________________________________ Last Name: ______________________________ M.I. _____ M or F______ Age: _______
First Name:_________________________________ Last Name: ______________________________ M.I. _____ M or F______ Age: _______
First Name:_________________________________ Last Name: ______________________________ M.I. _____ M or F______ Age: _______
Address :__________________________________________________________ Apt No. ______ City: ________________ State: ____________
Please check T-Shirt Size below:
Youth Sizes: Youth Small ___ Youth Medium ___ Youth Large ___ Adult Sizes: Small ___ Medium ___ Large ___ XL ___ XXL ___
Best Contact Number Including Area Code: ___________________________________________________________________________________
Emergency Contact on Day of Event Including Area Code: ______________________________________________________________________
Email Address: ___________________________________________________
2. Check box below.
2015 Ocean Warrior Family Fun Run
Please drop off or mail to at Ka`a`awa El.
Before March 20
Adults $20
Students (Under 18yr.) $ 10.00
After March 20
Adults $25
Students (Under 18yr.) $15
Total Enclosed: $_________
Due date for free shirt is Friday, March 20, 2015.
Make non-refundable entry fee check or money order
payable to:
Ka`a`awa Elementary School
C/O Alakai Manu
51-296 Kam Hwy.
Ka`a`awa, Hawaii 96730
$25.00 assessed for returned checks
All children must be accompanied by an adult
3. Please Read and Sign
Please Read and Sign
(Sorry we cannot process without your signature)
I, _______________________, the undersigned, on behalf of myself
and/or underage child, wish to enter the Ocean Warrior 5K Family Fun
Run to be held at Kualoa Ranch.
I understand that participating in a running race on undeveloped roads
and trails through Kualoa Ranch is a potentially hazardous activity,
that accidents and /or injuries can occur. I hereby take full
responsibility for myself and my family and agree to hold Kualoa Ranch
Hawaii Inc., Ka`a`awa Elementary School, and all the people
responsible for putting on this race harmless from any and all claims
due to accidents, injury or other loss that may arise our of my/our
participation in this race.
I also understand and accept that if this race cannot be held due to
severe weather or other unforeseen circumstances, Ka`a`awa
Elementary School is not liable to refund any entry fees or other
monies.
_____________________________________ Date: ________
Name of person(s) being entered
Pet friendly event. Leash and clean up
required. Mahalo.
________________________________________________________________
Signature of participant or parent of the participant