Search Us on Facebook : 5K for COWDEN 2011

5K RUN/WALK Date from the effects of cancer. Tom has recently been readmitted to St. Jude’s May 21, 2011 Hospital in Tennessee for these unforeseen 10:00AM complications. Although insurance will help with the medical bills, many expenses will be left for the Cowden family. Join us for our Place 2nd 5K For Cowden as we continue to fight Downtown Cleveland-Start at YMCA for Tom as he is fighting for a recovery. All 603 Following Run: East Main proceeds from the race will go to support Cleveland Town Tom and his battle against cancer and its Street Festival!!! effect on his recovery. Cleveland, NC Run for the Cause! 27013

Race Type Road Race (Walk/Stroller Friendly)

Cause Charity: Tom Cowden, son of Nelson Cowden- Assistant Principal at WRHS.

Shortly after Tom turned 13 (2010), he began suffering from awful headaches Cost (dri fit t-shirt included) and nausea. After taking Tom to the doctor multiple times, Mr. Cowden found that his Pre-registration-$20 young son had a cancerous brain tumor and After May 16—$25 would have to have immediate brain surgery at Baptist Hospital. After Tom had surgery, Payment he seemed to be recovering well. He would Please make checks payable to West Rowan begin radiation and start his road to High School. recovery. Now, a year later, doctors are (We will collect the money and write one check with all the money saying that Tom might have won his battle we raise to Tom.) against cancer. But, unfortunately, doctors West Rowan High School have since discovered numerous 8050 NC 801 Hwy complications as Tom’s body tries to recover Mt. Ulla, NC 28125

Search us on Facebook : 5K FOR COWDEN 2011 Registration Form One for each participant; Attention: Brittany Chester 7 [email protected] Make duplicates as needed.

Saturday, May 21st 2011 at---- Cleveland at 10:00AM—5K Run/Walk Please fill out a separate form for each family member - Male Female

First Name (Please Print) Last Name Age (on race day)

Address

City/State/Zip Telephone # Email

I will participate in Attention- Brittany Chester The following event: WAIVER AND RELEASE 5K Run STATEMENT 5K Walk (All Athletes must read and sign) I have read the accompanying event information and understand the T-shirt Size: policies of the event. I know that running and walking a race is a potentially hazardous activity. I should not S L XXL enter unless I am medically able and properly trained. I assume all risks associated with my voluntary participation in this event, including but not limited to, M XL falls, contact with other participants, the effects of the Note- Shirts are available to all pre- weather, including extreme temperatures, traffic and all registered participants. Those registering on conditions of the road, all such risks being known and appreciated by me. Knowing these facts, and in site (May 21, 2011) are not guaranteed a shirt consideration of your accepting my entry, I for myself, or the correct size. my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue and Cash enclosed WAIVE, RELEASE AND DISCHARGE West Rowan High , and all included sponsors, race officials, workers

Check enclosed or volunteers, their representatives, successors or assigns for ANY AND ALL claims or liability, whether Please make checks payable to: forseen or unforseen, for death, personal injury or West Rowan High School property damage arising out of, or in the course of my participation in this event. I further grant full

Mail to: permission to the above mentioned sponsors, organizers West Rowan High School and or agents authorized by them, to use any 8050 NC 801 Hwy photographs videotapes, motion pictures, recordings or Mt. Ulla, NC 28125 other record of the event for any reasonable purpose.

Search us on Facebook : 5K FOR COWDEN 2011 (Or signature of Parent/Guardian if entrant is age 17 or Signature of Participant Date under)

Search us on Facebook : 5K FOR COWDEN 2011