Broome County Promise Zone

Broome County Promise Zone Ugly Sweater Run/WalkSunday December 13, 2015 Binghamton University Campus4400 Vestal Pkwy E, Binghamton, NY 13902

Day of Race Registration: 11:00am Race begins at 12:00pm Ugly Sweater After Party: 12:15pm

Name:______Address:______City: ______State: ______Zip:______Email: ______Sex: ______Age:___ Team Name (optional):______

Awards: Top 3 Females / Top 3 Males / Ugliest Sweater / Ugliest Team All Finishers Will Receive a Special Gift!

3.1 Mile Fun Run and 1.3 Mile Fun Walk around campus. Run/Walk will begin outside of Old Union. Free Parking! Entry Fee: ___$20.00 With Commemorative Winter Hat ___$15.00 Without Hat Register by December 1, 2015 for a hat!

Make Checks Payable to: Binghamton University CCPA Promise Zone Register Online!

Send Entries to: John Vassello Binghamton University CCPA PO Box 6000 Binghamton, NY 13902-6000 W AIVER:

In consideration of your acceptance of this entry, I hereby, for myself, my heirs, my executors and administrators, waive any and all rights and claims for damages I may have against the sponsors, coordinating groups, and any individuals associated with the event, their representatives, successors, and assigns for any and all injuries suffered by me in connection with said event. Also, none of the above are responsible for the loss of personal items nor any other form of aggravation in connection with said event. I have been warned that I must be in good health to participate in such events. I also give permission for free use of my name and picture in any broadcast, telecast, or print media account of this event. In filling out this form, I acknowledge I have read and fully understand my own ability and do accept the restrictions. I also understand entry fees are non-refundable. Signed: ______Date: ______

Parent or Guardian Required if under 18 Years Old