A “Pete the Purple Bull ” event honoring National Bully Prevention Month PARTNERS/SPONSORS Presented by 5K Fun Run SATURDAY, OCTOBER 13TH 2018 9AM A 501(c)3 Charity Quad Cities River Bandits /Modern Woodmen Park For information, Contact: Pre-race dance/stretch Event Name: Run with the Bull 5K Race (walkers welcomed Colleen Bostic 563-370-7779 warm-ups too!) Or Email Kim at: Pete’s post-race Fiesta Date & Time: Saturday, October 13th, 2018 9AM [email protected] Featuring music, breakfast Location: Modern Woodmen Park-River Bandits Stadium burritos & other favorites 209 S. Gains Davenport, Iowa 52802 Registration: $28 includes a commemorative t-shirt, neck gator, goody bag & entry to Pete’s Post-Fiesta featuring breakfast burritos, music & more $23 Cornbelt Running Club Member, Arconic Employees, Family Teams (3+) *Additional t-shirts are available for $15 each & Neck Gators for $5 each T-shirts & Gators are guaranteed only if registered by 10/4/18 Your shirt size: Youth ____M ____L Adult: ____S ____M ____L ____ XL ____XXL ____ XXXL Awards: 1st, 2nd & 3rd pl male & female age group winners receive medals created by Arconic Age groups: 10 & under, 11 to 14, 15 to 18, and 7 year increments to 74+ Overall male and female winners are not included in the age group awards www.GetMeRegistered.com/RunwiththeBull $150 cash prize for overall male & female winner (sponsored by Las Amigos Restaurant). Proceeds benefit Pete the Purple Bull School & Community Programs Packet Pick-Up: 2pm to 6pm 10/12/18 The Center 1411 Brady St Davenport, IA that promote respect, kindness & 7:30 to 8:30 race day Modern Woodmen Baseball Park personal responsibility. Last Name: ____________________________________ First Name: ____________________________________________ Street Address:_____________________________ City:________________________ State:______ Zip:____________ Birth date: ____________ Age on Race Day: _______ Email:__________________________________ 5K registration $28: (Please circle) runner or walker male or female Team registration ($23 per person) circle: Arconic Employee Cornbelt Member Family Team Member(3+) Name of Team (if applicable)___________________________________________ Additional shirts can be purchased for $15 each. Indicate # of each size: ____YS___YM ____YL ____S ____M ___+L ____XL ____XXL ____XXXL Additional Neck Gators can be purchased for $5 each. How many extra Gators do you want? ____________ Registration Amount $ ______ + extra t-shirts $ _______ + extra Gators $______ + Optional Donation $________ = Total $_________ In consideration of my entry, I intend to be legally bound, for myself, my heirs, executors and administrators, to waive, release and forever discharge any and all rights and claims which may hereinafter accrue to me against the officials of the run, QC United and all sponsors for any and all accidents or injuries incurred by me at this event. I further state that I have trained adequately and am in suitable athletic condition to compete in the race I have entered. SIGNATURE: _____________________________________________________ DATE: _______________ PARENT SIGNATURE (FOR 17 AND UNDER): __________________________________________________ Make check to: QC United. Mail check & form to: QC United/Run with the Bull P.O. Box 1388 Bettendorf, Iowa 52722 or enter online at: http://getmeregistered.com/RunwiththeBull t-shirts guaranteed only if registered by 10/4/18 .