1. Ingeniería

LANCER STRIDE FOR PRIDE
LANCER
PRIDE
Prizes, Food, and Raffle!!
First 80 pre-registered
runners/walkers who pay
$25 fee will get a free
shirt!!
5K Road Race/Kids’ Fun Dash
Monday, October 13, 2014
Lawrence High School Campus
70-71 North Parish Road
Lawrence, MA 01843
10:30AM
What:
When:
Where: Time:
5K Entry Fee $25
Kids’ Fun Dash $10
For more information call or e-mail 978-973-9002 or
[email protected]
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
2nd Annual Lawrence Lancers Stride For Pride 5K Road Race & Kids’ Fun Dash
OFFICIAL ENTRY FORM
Adults $25, Students 14 and under, $10
Checks payable to: Friends of Lawrence High School Basketball
Mail to: Friends of Lawrence High School Basketball, Lawrence High School, 70-71 North Parish Road, Lawrence, MA 01843
NAME: _______________________________________ E-mail: _______________________________________________________
CITY: ______________________________ STATE: _______________ PHONE: _________________________________________
AGE/GRADE ON RACE DAY: ________________________________ GENDER: MALE or FEMALE
T-SHIRT (Circle One): Adult: XL L M S
(T-Shirts will be distributed on the day you pick up your race packets to the first 80 pre-registered 5K participants)
EVENT (Circle One):
5K Road Race or Kids’ Fun Dash
Liability Waiver (must be signed before mailing) I know that running a road race is potentially hazardous activity and that 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 safely to
complete the run. I assume all risks associated with running in this event, including, but not limited to: falls, contact with other participants, the
effects of weather, including high heat and/or humidity, traffic, and the conditions of the road; I know and appreciate all such risks. Having read
this waiver and knowing these facts, and in consideration for your accepting my entry, I, for myself and for anyone entitled to act on my behalf,
waive and release the organizers and volunteers of the Lawrence Lancers Stride For Pride, the Lawrence Public Schools and the City of
Lawrence, and all other sponsors, their representatives and successors, from all claims or liabilities of any kind arising out of my participation in
this event, or carelessness on the part of the persons named in this waiver. Further, I grant permission to all the foregoing to use any
photographs, motion pictures, recordings, or any other record of this event for legitimate purpose.
SIGNATURE (parent or guardian if under 18) and DATE:
_____________________________________________________________________
Adultos $25, Estudiantes 14 y bajo, $10
Cheques a: Friends of Lawrence High School Basketball
Enviar a: Friends of Lawrence High School Basketball, Lawrence High School, 70-71 North Parish Road, Lawrence, MA 01843
NOMBRE: __________________________________ CORREO ELECTRÓNICO:___________________________________________________
CIUDAD: ______________________________ ESTADO: _______________ TELÉFONO: _________________________________________
EDAD/GRADO EN DÍA DE CARRERA: ________________________________ GÉNERO: MASCULINO or FEMENINO
CAMISETAS (Seleccione Una): Adulto: XL L M S
(Camisetas serán distribuidas el día de recoger su paquete de carrera a los primeros 80 preinscritos participantes en la 5K Carrera)
EVENTO (Seleccione Una): 5K Carrera
o
Divertido Guión de los Niños
Formulario de Responsabilidad (debe ser firmado antes de enviar) Yo sé que correr una carrera puede ser pontencialmente una actividad
peligrosa y no debo participar sino puedo médicamentey sino he entrenado adecuadamente. Estoy de acuerdo de cumplir con cualquier
decisión de un oficial asociado con la carrera en mi abilidad de terminar la carrera sana. Yo asumo todos los riegos asociados por correr este
evento, incluso, pero no limitado; caídas, contacto con otros particpantes, los efectos del tiempo, incluyendo alta termperatura y/o humedad,
el tráfico y las condiciones de la calle yo sé y aprecio todos los riegos. Habiendo leído este formulario de responsabilidad y sabiendo estos
datos, y su consideración de aceptar mi entrada, yo, por si mismo y cualquier otra persona autorizada para actuar en mi parte, yo renuncio y
libero los organizadores y voluntarios de Lawrence Lancers Paso Por El Orgullo, las Escuelas Públicas de Lawrence y la Ciudad de Lawrence,
todos otros patricionadores, y sus representantes y sucesores, de todas las reclamaciones o responsabilidades de cualquier tipo que surja de
mi participación en este evento, o negligencia en la parte de las personas nombradas en este formulario de responsabilidad. Además, yo
concedo permiso a usar cualquier foto, películas, y otra forma de grabacionces de este evento para los propósitos legítimos.
FIRMA (padre o guardián si es menor de 18 años) y FECHA:
_____________________________________________________________________
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am
LANCER Stride For Pride
Register By Mail or Online at
active.com
Race: 10/13/2014 @ 10:30am