TAKING CARE of BUSINESS 5K Color Run/Walk

TAKING CARE OF BUSINESS 5K Color Run/Walk August 8, 2015 Entry Fee: $25.00 before August 1, 2015 $30.00 after August 1, 2015 Registration: Fill out and tear off this form and send to address below. Participants can also register at www.active.com. Race day registration will be from 7:45-8:45 am EST. In the high school gymnasium. Start Time / Location: 9:00 a.m. EST, LaRue Co. High School Front Parking Lot 925 South Lincoln Blvd. Hodgenville, KY 42748 Proceeds: 100% fundraiser for LCHS students going to do Disney’s Youth Education Series Programs at Walt Disney World. Sponsored by the Larue Co. H.S. Business and Tech Dept. More Information: Contact Jennifer Bernard 270-735-3419 or email at [email protected], Shannon Bowen at 270-537-5367 or email at [email protected] ______ENTRY FORM PLEASE PRINT CLEARLY Name:______Phone:______Street:______City______State:______Zip:______Email Address:______

T-Shirt Size

Adult Size (Circle One): SM MED LG XL XXL Other______AGE:______

Child Youth Size (Circle One): Extra SM SM MED LG AGE:______(2-4) (4-6) (6-8) (8-10) Make Check To: LaRue Co. High School Mail to: Jennifer Bernard-LaRue Co. High School 925 S. Lincoln Blvd Hodgenville, KY 42748

In consideration of the acceptance of my race entry, I for myself and assignees do hereby release and discharge all race sponsors and those assisting with the race for all claims of damages, demands or actions arising or growing out of my participation in said athletic event. I attest I have knowledge of risks involved is said event and am sufficiently trained to perform in the event. I acknowledge all information submitted is true, participant fees are non-refundable and I grant permission to use any photographs, motion pictures, recordings or any other record of this event. Signature______Date______Parent Signature______Required if under 18