Spring Sprint
Part of the proceeds will benefit the Rescue Mission of Salt Lake.
Print this page and mail it to the address below!
ICS Spring Sprint 2010
5k Run Entry Form
9:00 am Saturday, May 15
Send signed entry form and checks payable to Intermountain Christian School to:
ICS Spring Sprint
Intermountain Christian School
6515 South Lion Lane
Salt Lake City, UT 84121
Deadline: Must be postmarked by May 5, 2010
Entry fee: $25.00 per adult, $15.00 per child age 12 and younger
$75.00 per Family (2 adults and two or more children under age 18)
Name___________________________________________________
Address_________________________________________________
City______________________State___________Zip____________
Telephone_______________________________________________
Email___________________________________________________
Age on Race Day___________ Gender: Male Female
T-shirt size Youth M_______ Adult S _______ M_______L_______XL________
ICS Spring Spring 5K Run Waiver:
I know that running a 5k race is a potentially hazardous activity. 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 run. I assume all risks associated with running this event, including, but not limited to falls, contact with other participants, the effects of the weather, and the conditions of the course, 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 myself, and anyone entitled to act on my behalf, waive and release Intermountain Christian School, all sponsors, their representatives and successors from all claims of liabilities of any kind arising out of my participation n this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver, I grant permission to all of the foregoing to use any photographs, motion pictures, recording or any other record of the event for any legitimate purpose.
______________________________________________ Date_____________
Participant/Parent if Participant is under age 18
