The 5th Annual Adventures For
Wish Kids 5K Run/Walk
Registration - Individuals and Teams
can register by go online to www.afwkids.org
or mailing their form and check payable to Adventures For Wish Kids 5K at 8595 Beechmont
Avenue, Suite 301 Cincinnati, Ohio 45255– Deadline for online registration is May 28 – Mail in registration must be
postmarked by May 26th. Entry fee $25 ($30 day of race).
Top Individual Fundraiser and Teams – Will receive the follow prize
Individual Performance Awards – Top
Male and Female walkers and runners receive trophies.
Medals will be given to the top 3 men and women in the following
age divisions: Walking: 29 & under, 30- 39, 40-49, 50-59, 60 & over.
Running: 14 & under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49,
50-54, 55-59, 60-64, 65-69, 70 & over.
RESULTS - Race results will be
posted at www.sprunning.com or www.fleetfeetcincy.com
THE FIRST 500 TO REGISTER WILL RECEIVE FREE ENTRY TO
First Name _______________ Last Name ____________________
Address ______________________________
Phone __________________ E-mail __________________________________
Age on
Please choose which event you will be participating in: ___ 5K Run ___ 5K Walk
ı Individual ı Team Team Name _____________________ Leader ________________
Emergency Contact Info:
Name _______________________ Relationship __________________
Phone _______________________
In consideration of my entry being accepted, I intend to be legally
bound, and do hereby, for myself, my heirs, executors, waiver and release all
rights and claims for damages which may have or which have hereinafter accrue
to me against Adventures for Wish Kids, Kings Island, Steve Prescott, Fleet
Feet Sports, any subsidiary or political division thereof, their respective
officers, agents, directors, representatives, volunteers, successors, assigns
and sponsors for any and all damages or injuries which may be sustained and
suffered by me in connection with my association with entry or participation in
the event as is mentioned above. If I should suffer injury or illness, I
authorize officials of the race to use their discretion to have me transported
to a medical facility, and I take full responsibility for this action. I attest
and certify that I am physically fit and have sufficiently trained for the
completion of this event. I hereby grant full permission to any and all of the
foregoing to use any photographs, videotapes, motion pictures, recordings, or
any other record of this event for any purposes. Bicycles, in-line skates, and
headphones
are prohibited.
I HAVE READ THE ABOVE AND RELEASE AND UNDERSTAND THAT I AM ENTERING THIS EVENT
AT MY OWN RISK.
________________________________________________________________
Signature Phone Date
________________________________________________________________
If under 18, signature of Parent/Guardian Date