PIONEER RUN
5K Run/Walk Saturday May 2, 2015 | Oregon State Fairgrounds Come join in the fun at Western Mennonite School’s 5k fun run/walk in conjunction with our annual benefit auction. Proceeds assist families in financial need provide quality education in a Christian environment for their students. Afterwards, join us for our live and silent auctions, famous BBQ Chicken Dinner and other great food, Bouncy House! FREE ADMISSION & PARKING. Registration fee includes: Pioneer Run T-Shirt | Fruit and drinks after the race | Auction Bucks WHEN: Saturday May 2, 2015 starting at 8:00AM. Registration opens at 7:15AM behind the Jackman Long building. WHERE: The entire course will be located on the Oregon State Fairgrounds, maps available online and provided on race day. COST: $20 with registration received or postmarked by April 22, 2014. $25 for all registration thereafter, including race day registration. CONTACT: Caleb Ivanitsky at (503) 363-2000, or register
online at www.westernmennoniteschool.org/run
REGISTRATION Name:
Age (On Race Day):
Address:
Phone: Street
City
State
Zip
Email:
T-Shirt size:
Payment Options (Check One) | $20 before 4/22 | $25 After 4/22 Now (Registration fee enclosed)
Online
Day of ($25)
WAIVER “I, the undersigned, represent that I am medically fit and have properly trained to participate in this event. I hereby for myself, my heirs and executors, release any and all claims or right to make claims against all of the sponsors, organizers, employees, and volunteers associated in any way with the Western Mennonite Stampede for Students. I recognize and assume the risks inherent in running a road race, including but not limited to the risk of injury associated with strenuous physical exercise, contact with other participants, falls, running near traffic, and the risk of uncertain weather including heat and humidity. This release extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known and unknown. I grant permission for any and all of the foregoing to use any photographs, video tapes, recordings, or any other record of this event for any purpose whatsoever.” Signature:
Date:
Parent's Signature: If under 18
Office Use Date Received
Payment
T-Shirt Ordered