www.active.com

2017 Race for Recovery 5K Run/Walk & 10K Run
Registration

Name_______________________________________________________________________

Address_____________________________________________________________________

City_____________________________________________State________Zip____________

Telephone(_____) ________-_____________

Email_______________________________________________________________________

Gender ________Male _______Female

Age at race day __________Date of Birth_______________

T-Shirt Size (S—M—L—XL)____________________________

Please circle which race: <10K Run> <5K Run> <5K Walk>

Waiver Must Be Read and Signed Before Mailing:
WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained to complete the event. I agree to abide by any decision of a race official relative to my ability to safely complete this run within the designated time limit. I assume all risks associated with running in this race, including, but not limited to falls, contact with other participants, runners, bikers, horses and other animals, the effects of water, including hear or cold and precipitation, traffic, and the conditions of the trails and roads, all such risks being known and appreciated by me. Having ready this waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone for whom I am entitled to act, waive, release and hold harmless the race organizer, all other sponsor and property owners, and all the agents, employees, officers, directors and volunteers working for those entities from all claims and liabilities of any kind arising out of or related to my participation in this race. I understand that headphones, baby joggers or strollers, roller skates and dogs are not allowed in this race/run.

 

Signature __________________________________________________

Date_______________

 

Submit with payment to:

Friends of Recovery
6422 Santa Fe Drive
Overland Park, KS 66202