HomeMy WebLinkAboutPartnership Plan SWAHS 5k Race 2010 REGISTRATION
Make check payable to
The Partnership Plan
Mail to:
The Partnership Plan
P.O. Box 582, Stillwater MN 55082
Please print legibly. One form per person.
Photo copies acceptable.
Name:
Address:
City:
State: Zip:
E -mail:
Sex: 11 M 1:1 F Age on Race Day Lead the Way
Pre- Resalistration (on or before 9/24) , �_ SK & FUN DAY
1 -mile Fun Run $10 $
5k run/walk: $15 $ 02010 TM1e Partnershp Plan
Reaistration (after 9/24)
1 -mile Fun Run $10 $
5k run /walk $20 $
1 -mile Family Fee (4 or more) $35 $
Field Dav Events FREE $ 0 A DAY FOR A
Additional Donation: $
T Shirt (not included with registration) $ 5.00 HEALTHY
T-shirt size: Ei S Ei M Ei L Ei XL o XXL
Kids OS OM 0 L COMMUNITY!
Please read, understand and sign the following waiver: I know that running,
walking and field games are potentially hazardous activities. I should not
enter and run unless I am medically able and properly trained. I agree to
abide by any decision of a race official relative to my ability to safely
complete the event. I assume all risks involved with running or walking in
this event including but not limited to falls, contact with other participants,
and the affects of the weather including high heat and /or humidity, traffic
road conditions, all such risks being known and appreciated by me. Having
read this waiver and knowing these facts and in consideration of your
accepting my entry, I release The Partnership Plan, Stillwater Area Public
Schools and the City of Oak Park Heights, sponsors and their employees,
officials and agents ( "Released Parties ") from all claims and liability arising
out of my negligence or carelessness or the negligence or carelessness of
the Released Parties and further agree to indemnity and hold harmless the
Released Parties from such claims, damages and costs including
reasonable attorney's fee. The release and duty to indemnity does not apply
to the gross negligence or willful and wanton misconduct of the Released
Parties. I allow the publication of pictures in which I appear for event
publicity and promotion.
Signature:
Guardian:
(If participant is under age 18)
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Health and Fitness Fair
fa. An active mind and body are developed by leading a
healthy, balanced life. This includes getting enough rest,
I eating well and exercising regularly. This balance is hard
ThePartnershipPlan to achieve in life where the mind is pushed to the limit
THE EDUCATIONAL FUND but the body is often regarded as an after thought.
FOR STILLWATER AREA PUBLIC SCHOOLS Connecting the mind, body and spirit is the focus for first
ever health and fitness fair.
The Partnership Plan Community Field Day
The Partnership Plan is a non - profit 501(c)3 organization
dedicated to enriching and enhancing the educational Experience the fun of the Kids Lead the Way Field
experience of students in Stillwater Area Public Schools. Day program. Join us for a community wide field day
The Partnership Plan has supported and invested over featuring gunny sack races, parachute games, tug -o -war,
four million dollars, money focused solely on creating egg races, and so much more. A great way to have non -
exceptional learning opportunities for all Stillwater competitive fun with your family and friends.
students.
The Partnership Plan is managed by a volunteer Board of Sponsors
Directors and operates independently and separately from
Stillwater School District 834.We work with District 834
as a supporting partner, augmenting the rich tradition of
academic excellence and educational opportunities
possible in the Stillwater Area Public Schools. S T I L LWAT E R L A K E V I E W
htEMC'AL GROUT HOSPITAL
Members of Lakeview Health