2009 Dash for Deaf Kids
5K Race and 1 Mile Fun Run
1 Mile Fun Run
5K Run
The 5K begins at LSD, located at
Race participants and their families are encouraged to join in for post-race for food, beverages, awards and door prizes.
AWARDS
Overall—Male and Female (1 Mile & 5K)
Masters and Grandmasters—Male and Female
Age group awards—Male and Female
3 deep in 5 year age groups: 14 years and younger through 76 years and older
All race entrants are eligible for door prizes
REGISTRATION FEES: Registration must be received by April 27th to guarantee the reduced fee and T-Shirt. Late or Race day registrants not guaranteed t-shirts.
Make checks payable to LSD Foundation. (ENTRY FEES ARE NON-REFUNDABLE)
5K 1 Mile Both Races
Before
After
EARLY PACKET PICK-UP & LATE REGISTRATION:
Monjuni’s Italian Restaurant:
Return Forms and Checks to
LSDF
Send Race questions to: dashfordeafkids@gmail.com
I will participate in the □ 5K Race □ 1 Mile Fun Run
Shirt size: □ Small □ Medium □ Large □ X Large □ XX Large
□ I can’t participate, but please accept my donation of $____________
Please print legibly:
Name: __________________________________________________________________________
Street: __________________________________________________________________________
City: ___________________________________ State/Zip________________________________
Telephone: _________________________ E-mail:____________________________________
Gender: ______ Age on Race Day: ___________
By completing this entry form, I, the undersigned, intend to be legally bound here for myself, my heirs, executors, administrators and assigns, knowingly and willingly I waive and release any and all rights and claims for damages I may have against the persons or entities connected with this event, including the Louisiana School for the Deaf (LSD), the LSD Foundation, Club South Runners, and all other parties associated with this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I hereby grant full permission to use my name and image in any photographs or other records of this event.
Signature: ___________________________________ Date: __________________
Parent’s Signature if under 18 years old: _____________________________________________________
Return Forms and Checks to:
LSDF
FOR MORE INFORMATION:
Julie Russell (225) 806-1534 or (dashfordeafkids@gmail.com)
Patricia Mann (225) 757-3327 or (foundation@lalsd.org)
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