4th Annual 5K at the Pine School - Knight Run 2011

Hobe Sound, FL

Meet Information

Knight Run 2011

Friday, October 14, 2011 - 6pm
Register online at
www.knightrun.org

Registration Form

*Music, dinner, prizes and more! *AWARDS: Fastest male and female by age groups.

*SPECIAL PRIZES: Best Cartoon costume-Adult Male, Female & Child

Enter names and ages of all participants below. Choose one option for each person. Return form, with payment, by October 10th. Registrations will be accepted on the day of the race; however, 5K registrations received after October 10th will be $30. Race packet and dinner are not guaranteed for late entries. Register early!

Name Date of Birth 5K 8&U Fun Activities

Pre-register by October 10th:
# of entries in 5K Run/Walk (+ dinner) ____ x $25 = $____
# of entries in 8 & Under Fun Activities (+ dinner) ____ x $15 = $____
Dinner Only ____ x $10 = $____
TOTAL AMOUNT DUE $_______

Make checks payable to: The Pine School
Bring or mail to: The Pine School, 12350 SE Federal Hwy., Hobe Sound, FL 33455, Phone: 772-675-7005
Please sign and date the Waiver and Release below. Your registration is not valid without signature.

SCHEDULE: 5:00 p.m. Check In
5:30 p.m. 8 & Under Fun Activities
6:00 p.m. 5K Run/Walk (Shotgun start)
7:30 p.m. Dinner and Awards

Waiver and Release - Primary contact person information:

Name: ________________________________________________ Phone: ________________________________________

Email:(Used only for Knight Run Information.) __________________________________________________

I am aware that participating in a running event is a potentially hazardous activity and that l and/or my child should not enter and run/walk unless l and/or my child are physically able. I agree to abide by the rules and the decision of any event official relative to my and/or my child's ability to safely compete in the event. I will provide adult supervision for my child during the event. I assume all risk associated with my and/or my child's participation in the Pine School Knight Run, including, but not limited to, falls, contact with other participants, the effects of the weather including high heat and/or humidity, traffic, and road conditions, all such risks to myself and/or my child being known and appreciated by me. Having read this waiver and release from liability form, and knowing these facts, and in consideration of your accepting my entry and/or my child's entry, I for myself and/or my child and anyone entitled to act on our behalf waive and release The Pine School, "Clock This Racing Partners", race day volunteers, and all event sponsors, their representatives and successors from all claims or liabilities of any kind arising from my participation and/or my child's participation in this event.

I understand and agree to the waiver and release. ____________________________________________
(Signature required)

The Pine School Presents

THE KNIGHT RUN 5K RUN/WALK

Friday, October 14, 2011 5:00 p.m.
Open to the community Rain or Shine

Come kick off The Pine School's Homecoming Weekend by joining us for The Knight Run - An evening event for the whole family featuring a 5K Run/Walk for all ages plus Fun Activities for kids 8 and under. Music, dinner, prizes and more! Special prizes for those who come ready to run dressed as their favorite cartoon character!

For more details and registration go on-line to www.knightrun.org

Please bring any used shoes you have to donate to Shoes for a Cure. Donations will be collected on race day.

**REGISTRATION FORM ON BACK**

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