Where: St. Elizabeth Ann Seton Church, 10700 Aboite Center Road, Fort Wayne, in 46804

5K Run/Walk What did you eat for dinner last night? Did you have to worry about where your meal was going to come from? Did you go to bed hungry? For one in eight Americans, hunger is a reality. Today, millions of Americans … people from all walks of life, religion, creed, and color … people right here in northeast Indiana … struggle with hunger on a daily basis. Join us for the Ninth Annual Seton Miracle Miles 5K Run/Walk because we can make a difference. All monetary proceeds will go directly to the St. Mary’s Soup Kitchen. When: Saturday, August 5, 2017 Where: St. Elizabeth Ann Seton Church, 10700 Aboite Center Road, Fort Wayne, IN 46804 Time: Race Day REGISTRATION: 7:00 AM-7:45 AM, RACE: 8:00 AM Pre-Race Packet Pick Up: Friday, August 4, 2016, 4:00 PM-6:00 PM at race location Course is USATF Certified: Course ID# IN 11006 MW Online Race Registration: http://www.getmeregistered.com Online registration closes on August 3rd at midnight. Registration must be done via paper after this point. Race Director: Michael Rost, E-mail: [email protected] Phone: 260-615-7427 Website: http://www.setonmiraclemiles.com/ ENTRY FORM (Please Print Clearly)

Name: ______Fee:

Address: ______ $15 Pre-registration (must be mailed by July 29, 2017, can drop off to parish office by August 4th, 2017) City: ______State: _____Zip: ______ $20 Race Day Registration (You may also register on the day of Phone: ______Circle Gender: M F the race or at pre-packet pick-up)

Email address: ______ Children 14 and under may participate for free with a Age on race day: ______Date of Birth: ______parent/guardian present. However a participation shirt and number will not be received with this option. Please list any Shirt Size: S M L XL (All pre-registered participants child(ren)’s full name(s) on the line who will participate this guaranteed a shirt. Shirts will be available on race day on a first option: come-first served basis while sizes and supplies last.) ______

 I would like to make an additional donation of: $______Total Enclosed:$______Waiver: In consideration of the acceptance of my entry, I, for myself, my executors and assignees, acknowledge that I have read, understood and agree to the following: I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by the decision of a race official relative to my ability to safely complete the run. I assume all risks associated with participating in this event including, but not limited to: falls, contact with other participants, the effect of the weather, including precipitation and hot temperatures; road and trail conditions all such risks being known and appreciated by me. For my safety I understand that bicycles, skateboards, and roller skates are not allowed in the race. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, myself, and anyone entitled to act on my behalf, waive and release the timers, St. Mary’s Soup Kitchen, St. Elizabeth Ann Seton, all sponsors and volunteers from all claims and liabilities of any kind arising out of my participation in this event thought that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I permit my photograph or likeness to be used for any legitimate purposes.

Signature of participant (If under 18, parent or guardian must sign) Date One form per participant please, this form may be reproduced. Mail Form & Entry Fee to: St. Elizabeth Ann Seton Church, 10700 Aboite Center Rd., Attn: Seton Miracle Miles 5K Run/Walk, Fort Wayne, IN 46804 MAKE CHECK PAYABLE TO: St. Elizabeth Ann Seton Fest: Miracle Miles Race We would like to thank all our sponsors who help make this race possible and ensure that all race participants’ entry fees go directly to the charities! Listed are the Gold and Silver Level Sponsors from last year’s race.  Summit Consultants, Inc.  Oral & Maxillofacial Surgery  Envision Eye Care  Spyro’s Restaurant  Ms. Rose Ann Scranton -Dr. Christina Mummert  Klinger Family Dentistry  Tim Rooney of Stifel  Fort Wayne Orthopedics -Dr. James Klinger Nicolaus -Dr. Jerald Cooper  St. Elizabeth Rebates  Reimbold and Anderson  Bobick’s Golf (Scrip Parish Rewards)  Wings Etc.  Bishop Luers High School