COATS KIDS COATS KIDS - Ozark Mountain Ridge Runners

KIDS
4
Family Fun Run
Branson Tri-Lakes Kiwanis presents the 1st Annual
COATS
5k & Run/Walk Courses
Saturday, April 18, 2015 @ 8:30 a.m.
(rain or shine)
Location:
Hollister Schools
1914 State Highway BB
Hollister, Missouri 65672
The entire course will be on school property
Registration Fee:
A New
Winter Coat or...
Prior to April 1
After
After April 1
Individual $20$25
Student (18 & under)$10
$15
Team of 4
$50
N/A
Runs will not be timed
A Commemorative T-Shirt
will be guaranteed for the
first 100 pre-registrations
All proceeds will be used to
purchase winter coats for distribution by
Hollister Schools. They will be given to
students that lack the necessary
resources for a good coat.
Packet Pickup:
both times @Hollister Schools
Friday, April 17 4 - 6 p.m. or
Saturday, April 18 7 - 8 a.m.
Run starts at 8:30 a.m.
Refreshments at the finish line
Sponsorships:
$250 level - includes logo on the back of the event
t-shirt, a team of 8 participants and the ability to
display a banner at the event
$100 level - includes a team of 4 participants and
recognition at the event
You can donate participant spots and
we will allow runners who could not
afford the event to participate.
For more information, contact Cory at (417) 334-5458
or visit www.BransonKiwanis.com
Branson Tri-Lakes Kiwanis
Branson Tri-Lakes Kiwanis is a group of dedicated men and women who volunteer their time to changing
the world one child, and one community at a time. Even though we come from all walks of life, we all want
to help children. The Branson Tri-Lakes Kiwanis club was chartered on May 13, 2004. Kiwanis clubs,
located in 80 nations, help their communities in countless ways. Each community’s needs are different—so
each Kiwanis club is different. By working together, members achieve what one person cannot accomplish
alone. When you give a child the chance to learn, experience, dream, grow, succeed and thrive, great
things happen. We meet Tuesdays at Noon at Golden Corral. Come and join us in making a difference.
Registration:
One form required per person. Complete form, attach payment (checks made out to Branson Kiwanis)
and return to Branson Kiwanis, PO Box 1167, Point Lookout, MO 65726. Please print legibly.
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
City: _________________________________
State: ____________________
Zip: ___________
Phone: _______________________________ E-mail Address: _____________________________
Age: ___________________ Sex (circle one):
Event (circle one): 5k
Male
Female
Family Fun Run/Walk
(please note that events will not be timed)
Shirt Size (circle one): Youth Small
Adult Small
Youth Medium
Adult Medium
Adult Large
Youth Large
Adult XL
WAIVER: I know that running is a potentially hazardous activity. I should not enter or run this event unless I am medically
able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the
run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants,
the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such
risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your
acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release BRANSON TRILAKES KIWANIS COATS 4 KIDS and all members, sponsors, organizers, and volunteers of this event; the HOLLISTER
SCHOOL DISTRICT; BRANSON TRI-LAKES KIWANIS, their representatives and successors from all claims or liabilities of
any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on
the part of the persons named in this waiver. All fees are nonrefundable. I also authorize use of my picture for any publication
or media use.
Agree to waiver by checking here
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided
true and accurate information as requested through this registration process.
Participant’s Name: _________________________________ Date: ________________________
Please print
Participant’s Signature: ____________________________________________________________
18 year or older or Parent/Guardian
Make checks payable to Branson Kiwanis. For more information, call Cory at (417) 334-5458
Contributions or gifts to the club are not deductible charitable contributions for federal income tax purposes