For Official Use Only s10

Registration Form

First Name______

Last Name ______

Street Address______

City______State___

Zip Code______

Phone (Day)______(Evening)______Email______

Birth Date______Age____ Sex______

Morgan’s Run Disclaimer Participant’s Agreement, Waiver, Release, and Acknowledgment. In consideration of your accepting this entry, I hereby, for myself, my heir, executors and administrators, waive any and all rights and claims for liability and damages I may have against Bates College and the Morgan McDuffee Memorial 5K Run/ Walk, its employees, agents, officers, governors, sponsors, and volunteers, the city of Lewiston, and the state of Maine for any and all injuries suffered by me in or arising from said event. I further understand that running a road race is a potentially hazardous activity and that I should not enter the road race unless I am medically able and properly trained.

SIGNATURE: ______Date______

Photo Release: I grant my permission to all of the foregoing to use any photographs, video or recordings of this event for any legitimate purpose.

SIGNATURE:

______Date______Registration Form

Early Registration & T-Shirt (Must be received by Tuesday, February 24th 2004) $15.00_____ Early Registration w/o T-Shirt (Prior to Feb. 24th 2004) $12.00_____ Registration on Day of Race (includes T-Shirt, while they last) $18.00_____ The 1 Mile Walk $10:00_____ Additional Donation or Sponsorship $_____ Total $______

Circle One: 5KRUN 5KWALK 1Mi.WALK

Circle T-Shirt Size: S M L XL

To Register: Before February 24th: Mail the registration form with check made out to: Morgan’s Fund, to: Morgan’s Run, 60 Mabel St. Portland, Maine 04103 On March 6th (Race Day): Register at the Clifton Daggett Gray Athletic Building, Bates College, Lewiston, Maine, with cash or check.

For official use only

For the safety of runners, no headphones, baby carriages/joggers, rollerblades, or animals are allowed. No refunds. Sponsorship pledge Form

Help make this a successful fundraiser for Morgan’s Fund under the Maine Community Foundation. Your pledges will benefit the state of Maine and New England by contributing directly to a fund that works against violence in our society and aids efforts that promote peaceful means of resolving conflict. All contributions are tax-deductible.

We appreciate your support! All Pledges will be collected at the Race. If you raise $75…..….you will receive a Race hat. If you raise $125…….you will receive a long-sleeve Race T-shirt. If you raise $200 ……you will receive a Race sweatshirt. (Shirts and hats will be mailed to participants following the race.) Note: You don’t have to raise pledges to participate in the Race.

Runner/ Walker Name: ______

SPONSOR LIST NAME DONATION 1. ______2. ______3. ______4. ______5. ______6. ______7. ______8. ______

Please list additional sponsors on a separate sheet of paper.

Total Donations $ ______Morgan’s Run Beneficiary Morgan’s Fund with the Maine Community Foundation Helping Parents Raise Community Oriented Children and Children Resolve Conflict Peacefully Mission: Morgan’s Fund provides grants to those efforts in the Northeast which demonstrate a dedication to breaking the cycle of violence in our culture. Morgan’s Fund aids efforts that work to prevent the harmful effects of violence on young children in society. Morgan’s Fund places special emphasis on the ability of children in a violent home to overcome the trend of recreating violence in later years. In Memory of: Morgan McDuffee, Bates college economics student and lacrosse captain. Morgan attended Lexington High school and Killington Mountain Ski School. Remembered for his vitality, leadership and courage, Morgan was murdered while rescuing two teammates.

Morgan’s Fund has benefited efforts such as, the Center for the Prevention of Hate Violence (CPHV) peer leadership programs in Maine. CPHV works with schools throughout Maine in addressing the widespread problems of bullying, teasing and the use of degrading language and slurs.

Morgan’s Fund Maine Community Foundation One Monument Way, Suite 200 P.O. Box 7380 Portland, Maine 04112 www.mainecf.org Please direct questions to: Pamela Cleghorn, Donor Relations and Program Associate MCF, at 207-761-2440, email [email protected] Or Suzanna Andrew at [email protected] Morgan’s 5K Run/Walk

Second Annual Saturday, March 6 2004 1p.m. Clifton Daggett Gray Athletic Building, Bates College, Lewiston, Maine.

Morgan W. McDuffee

All Proceeds Benefit Morgan’s Fund for Violence Prevention with the Maine Community Foundation- Named in memory of Morgan W. McDuffee 7/6/79 –3/3/02

We Run. We Walk. With Every Step, We Remember.

Race Information Check In Numbers can be picked up at the Gray Athletic Building on race day.

Race Day Registration begins at 11:30am Clifton Daggett Gray Athletic Building, Bates College, Lewiston, Maine 04240

Start Time 12:30 pm Race Introduction 1:00 pm 5K Run/Walk

Courses The 5K route: Starts on Central Ave (at the Gray Athletic Building), heading North to Montello Ave where runners take a left until they reach College St. going south until Mountain Avenue when they will head right until Maine Street where they will go south and then take a left on Frye Street until College where they will take a left and then a right onto Campus Avenue where the finish will be at the corner of Campus and Central Avenues. The 1 Mile Walk: Marked on campus route.

Awards Presented to top three overall male and female finishers in each age category: 12 and under; 13-19; 20-29; 30-39; 40-49; 50-59; 60-69; 70+

Parking Facilities Free parking available on streets and in lots surrounding the Gray Athletic Building.

Timing & Results Provided by Granite State Race Services For more information contact Suzanna Andrew, (207) 671-0676, [email protected] or Graham Veysey at [email protected]