1. No category

Seldens Landing’s INAUGURAL
Family Fun Run 2015
Saturday, April 11 @ 9:00am
“Stroll and Roll” @ 8:45am
@
Seldens Landing
OR
Bring your friends and family to the 1st Annual SLES Family Fun Run!! Have fun while
raising money for the SLES Technology Fund.
- Fun Run course is 3 laps @ 2/3 mile per lap for a total of TWO miles (around the perimeter of SLES).
- Registration is open to all ages. All children MUST be accompanied by an adult.
- Each entrant automatically receives one raffle ticket for Microsoft Prize Pack valued in excess of $500!! (Includes
XBOX ONE, Minecraft, Office 365)
- Participants will also receive a commemorative T-shirt, a finishers medal (ages 12 and under), and a goodie bag at
check-in (water bottle, sponsor coupons/items, racing bib)
- Awards given to Top 3 Finishers in each grade (K-5)
- Refreshments and entertainment will be provided at the finish line, including live music, face painting, the Chickfil-A Cow, breakfast sandwiches and more!
Registration fee is $15 per participant – Register by March 27, 2015
Register online at www.tinyurl.com/sles-funrun2015 or via Registration Form below
Questions? Contact Scott Cook at scooky@gmail.com or (415) 902-9082
- - - - - - - - - - (Cut and return to SLES with check made payable to Seldens Landing PTA by 3/27/15) - - - - - - - - -
Family Fun Run 2015 Registration
Parent’s Name: ___________________________ Email: ____________________ Cell: ___________________
Name
Grade*
Shirt size
Registration
Fee
$
15.00
$
15.00
$
15.00
$
15.00
$
15.00
Donation
Total
T-shirt sizes:
Youth:
YS YM YL YXL
Adult:
AS AM AL AXL
*Enter N/A in ‘Grade’ field if Participant does not attend SLES.
Activity/Event Authorization and Acknowledgement of Risks
Please check each box and sign below:
□ I understand that my participation in the above Activity/Event is voluntary, that it is not required, and that there will be exposure to activities involving
□
□
□
risks of serious injuries. I have read and understand the description of the Activity/Event and I agree to participate and follow the event organizer’s
directions.
I understand that LCPS will not be responsible for any personal property that may become lost or damaged during this Activity/Event and that LCPS does
not provide medical or accident insurance for injuries involved with this Activity/Event. I authorize and give permission for myself to receive first aid,
emergency medical care and transport, medical treatment, and all other care deemed reasonably necessary for my health and well-being in case of
accident, injury, or serious illness during the Activity/Event. I understand that I will be responsible on a primary basis for any related medical expenses
incurred.
I understand that all school rules and regulations apply during this Activity/Event, and further understand that I may be responsible for transportation to
and from the Activity/Event at the above noted time.
I acknowledge that I am over the age of 18, or the legal guardian of the registrant under the age of 18. _____________________________________
Signature of Parent or Guardian