Registration Form 6th Annual Race at the Ranch 5K – 1 Mile Fun Run Health & Activity Fair Saturday, April 1, 2017 Registration Form The 5k route has been modified to eliminate the two largest hills from our previous course Online registration is available at WWW.RACEATTHERANCH.ORG Registration fees: Fun Run- $20.00 ($25 after 3/25) 5K Run/Walk- $25.00 ($30 after 3/25) Family Registration (up to 5 family members)- $65.00 ($75.00 after 3/25) + $10.00 per additional family member Name___________________________________Age__________T-Shirt Size(Specify A or Y)____________Fun Run or 5K__________ Contact Name:__________________________ Contact Address:_______________________________________________________ Contact Email:___________________________Contact Phone Number:_________________________________________________ Shirt size is guaranteed if registration is received on or before March 10, 2017 _______YES! I would like to sponsor a family unable to afford the registration fee for an additional $65.00 Registration Total Enclosed $__________________ (Please make checks payable to KRE PTA) WAIVER: (MUST BE READ AND SIGNED) I know and understand that running is a potentially hazardous activity. I should not enter or run this event 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 of the risks associated with running in this race including but not limited to falls, contact with other participants, the effects of weather, including high heat and/or humidity or severe cold, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself, my family, and anyone entitled to act on my behalf, waiver and release Kinder Ranch Elementary School and KRES PTA, and all sponsors, their representative and successors for all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the people named in this waiver. All fees are nonrefundable. Participant Signature:_____________________________________Date:_______________(Parent signature is participant is under 18) Participant Signature:_____________________________________Date:______________(Parent signature is participant is under 18) All registration forms can be mailed to: Kinder Ranch Elementary ATTN: Race at the Ranch 2035 Kinder Parkway San Antonio, TX 78260 Shirt