Jessi’s Fight for Sight 5K Walk/Run
When: Saturday, May 15, 2010 Where: Ryle High School, Union, KY
Pre-Registration: $25 Day of Event Registration: $30
Check In Begins: 7:30 a.m. Walk/Run Begins: 9:00 a.m.
The Sander family has been active in our community for many years. You may know Jessi & her family through your neighborhood, school, a sports team, or St. Timothy’s Church. If not, here’s a very brief overview of her courageous story…
At 19 months, Jessi was diagnosed with Neurofibromatosis (NF) Type 1—a genetic disorder that causes tumors to grow along various nerves. Since then, she has undergone several rounds of chemotherapy, radiation, and surgery to remove tumors from both her brain and leg. As the result of a tumor growing on her optic nerves, Jessi has lost all sight in her right eye and has greatly reduced vision in her left eye. In January 2010, Jessi began one final round of chemotherapy as a last hope of retaining the little sight she has left. Everyone who knows Jessi agrees that she is an amazing young lady who rarely complains about anything. Her family has faith that Jessi will lead a wonderful life with or without sight, yet they also know that she will forever battle a range of NF issues.
Online registrations due by 5/11. Mail-in registrations should be postmarked by 5/7. Please provide the following information when you pre-register & pay online at www.sprunning.com
First Name: ________________________ Last Name: _____________________________
Address: _____________________ City: ___________________ State: ____ Zip: _______
Phone Number: ________________________ Email: ____________________________
Gender (please circle one): M F Age (on race day): ____ Division (please circle one): Runner Walker
T-shirt size(s)* (please circle one): YS YM YL YXL AS AM AL AXL AXXL AXXXL
*Each participant receives one free t-shirt. Additional t-shirts may be ordered for $15 each. For more information on
ordering additional t-shirts, please contact Lori Raap at 859-384-2157 or lori.raap@boone.kyschools.us.
Waiver: In consideration of the acceptance of my entry, I hereby waive on behalf of myself, my heirs, executors and assigns, any and all claims of any nature arising from or due to my participation in the Jessi’s Fight for Sight 5K Walk/Run. I also hereby release Jessi’s Fight for Sight, Steve Prescott, all sponsors, workers, officials and volunteers from any and all claims arising from or due to my participation in this event. I agree to follow all rules of participation and acknowledge that the race committee may refuse or return my entry at its discretion. I understand the risks for such a run or walk, and have trained and prepared adequately in preparation for the event. I HAVE NOTED ANY MEDICAL CONDITION on this entry form. I permit the use of my name and picture participating in this event for publicity, for no additional consideration. I also understand that entry fees are non-refundable.
Signature: ____________________________________ Date: _____________
Parent signature (if under 18): ________________________ Date: _____________
Emergency contact: __________________________ Phone number: ______________________
Questions about the Walk/Run? Please contact Christy Gross at 859-384-4357 or beach4bums@insightbb.com.
Online registration preferred (due by 5/11). Donations can also be made to any Fifth Third Bank c/o Fight for Sight 5K Run. Mail-in registrations must be postmarked by 5/7 and may be sent to:
Christy Gross, Attn: Fight for Sight 5K Walk/Run, 10750 War Admiral Dr., Union, KY 41091
NEUROFIBROMATOSIS www.ctf.org