06/13/15 Reading, PA People Helping Haiti 5k

VISIT: ‘People Helping Haiti’ on Facebook
EMAIL: info@peoplehelpinghaiti.com
CALL: (484) 269-8968
PEOPLE HELPING HAITI: 5K & 1 MILE WALK
Saturday, June 13th, 2015 – 9:00 AM – 4891 Penn Ave, Sinking Spring, PA
19608
CAUSE: People
Helping Haiti is a community group creating opportunities for caring people to give
generously to the desperately needy people of Haiti.
LOCATION:
4891 Penn Ave, Sinking Spring, PA 19608; The beautiful campus & surrounding trails of our
host, Calvary Bible Fellowship Church.
CHECK-IN: On race day, check-in opens at 8:00 am. 5K and 1M will begin at 9:00 am.
COURSE: Multi-surface course goes throughout the campus, partially on pavement, crushed
limestone, &
grass surfaces. Race will be professionally timed by Pretzel City Sports.
DETAILS:
Runners and walkers (with dogs) are welcome! There will be food, awards, activities, indoor
bathrooms, free parking, & bounce house for children 3+ (available after the race).
DONATION COST: $25
Early Bird Registration for 5K & 1 Mile Walk paid online at pretzelcitysports.com or
by cash/checks made payable to “Harvest International” to directly support People Helping Haiti. Price
raised to $30 after May 23rd. 1 Mile Walk participants 10 years & under are free (does not include shirt,
can be pre-ordered for $10). All forms/fees wished to be mailed are to be sent to 4891 Penn Ave, Sinking
Spring, PA 19608.
Support People Helping Haiti rain or shine!
Last Name: __________________________ First Name: __________________________
Address: ________________________________________________
City/State: _____________________________ Zip: ______________ Date of Birth:
Race: 5K
or
Gender: Male
/
/
1 Mile Walk
or
Female
Phone: ___________________ Shirt Size: Adult: S
M
L or XL
Youth: S
M or L
Email: ______________________________________________
I know that running a road race is a potentially hazardous activity. I also assume any or all other risks associated with running or attending the race including but not limited to
falls, contact with other participants, all such risks being known and appreciated by me. I hereby for myself or anyone else who might claim on my behalf, covenant not to sue,
and waive, release and discharge PCS, CBFC, HI, any subcontractors it utilizes, or anyone else associated in any way with the race, from any or all claims or liability for death,
personal injury of any kind of nature. By entering this race, I am granting permission to PCS and CBFC to use any pictures or likenesses of me secured at the event in anyway
they see fit without review. I HAVE READ AND UNDERSTAND THIS WAIVER.
Signature: _____________________________________ Today’s Date:
/
/2015
(Parent’s signature required, if runner is under 18 years old.)
COMPLETE AN INDIVIDUAL FORM FOR EACH PARTICIPANT, PAID OR FREE REGISTRATION. T-SHIRTS ARE INCLUDED WITH
ALL PRE-REGISTRATIONS. T-SHIRTS WILL BE AVAILABLE RACE DAY WHILE SUPPLIES LAST.