Pace @ the Pointe! 2019

REGISTRATION FORM: SIMPLY PRINT / FILL OUT THIS FORM AND RETURN IT BY FRIDAY APRIL 12, 2019 FOR A GUARANTEED T-SHIRT. MAKE CHECKS PAYABLE TO WHOLE LIFE SERVICES, INC. EXTRA REGISTRATION FORMS CAN BE FOUND HERE (OR YOU MAY REQUEST TO HAVE INFORMATION SENT TO YOU BY COMPLETING THE REGISTRATION INFORMATION ON THIS EVENT PAGE).

Whole Life Services Inc. proudly presents our 5th annual 5k Run and Fun Walk. This year the race will be held on a Wednesday evening. Runners will take advantage of the race course we had last year. Walkers will have the opportunity to walk half the distance of the course. We hope everyone can make this wonderful event. If you have any questions, please contact Brenda Jewell at : 724-347-5595.

TIME: 5:30 PM – REGISTRATION

6:30 PM- 5K RUN/ 2K FUN WALK

AWARDS TO FOLLOW!

LOCATION: WHOLE LIFE SERVICES INC.

3199 INNOVATION WAY, HERMITAGE, PA.

COURSE: THE COURSE WILL BEGIN AT WLS AND RUN ACROSS LINDEN POINTE.

AWARDS: TOP 3 OVERALL MALE AND FEMALE.

AGE GROUPS (TOP 3): 19 AND UNDER, 20-39, 40-59, AND 60 & OVER.

REGISTRATION FEE: NOTE: SHIRT SIZES MAY BE AVAILABLE

$20 REGISTER BEFORE APRIL 12, 2019. TO PURCHASE ON RACE DAY. REGISTER

$25 AFTER APRIL 12, 2019 AND RACE DAY. EARLY TO GUARANTEE YOUR SIZE.

WAIVER TO BE SIGNED BY ATHLETE:

IN CONSIDERATION OF THE ACCEPTANCE OF THIS ENTRY. I AGREE TO HOLD HARMLESS AND WAIVER FOR MYSELF, MY HEIRS, AND ASSIGNS, ALL CLAIMS OR DAMAGES IN WHICH I MIGHT HAVE AGAINST THE RACE, WHOLE LIFE SERVICES, AND/OR IT’S AFFILIATES, ITS SPONSORS, OR ANY AND ALL RISKS ASSOCIATED WITH RUNNING THIS EVENT INCLUDING, BUT NOT LIMITED TO FALLS, CONTACT WITH OTHER PARTICIPANTS, THE EFFORT OF WEATHER, TRAFFIC, AND THE CONDITIONS OF THE RACE COURSE, ALL SUCH RISKS BEING KNOWN AND APPRECIATED BY ME. I CERTIFY THAT I AM A VOLUNTARY PARTICIPANT IN THIS EVENT AND IN GOOD PHYSICAL HEALTH.

SIGNATURE:________________________________________ DATE:_______________

NAME:________________________________________

ADDRESS:______________________________________

CITY: ____________________ STATE:_____ ZIP:____________

AGE: _______ MALE: ______FEMALE: ________

SHIRT SIZE (ADULT): S M LG XL 2XL 3XL

CIRCLE ONE: RUNNER WALKER

___ I DO NOT PLAN TO RUN OR WALK IN THE RACE, BUT ENCLOSED IS MY DEDUCTIBLE DONATION OF: $____________.