1. Since 2008, the Kids’ Chance of PA Walk/Run Events, hosted in both Harrisburg and Philadelphia, have provided a forum through which our organization has reached out to the community at large to share the message of Kids’ Chance of Pennsylvania. These events not only serve to highlight our mission, but also to raise money in support of college scholarships for deserving students in need of assistance. With board support and the help of a very dedicated staff, the Walk/Run Events have helped Kids’ Chance of Pennsylvania meet its scholarship goals while educating the communities we serve. The mission of Kids' Chance of PA is to provide scholarship grants for college and vocational education to children of Pennsylvania workers who have been killed or seriously injured in a work- related accident resulting in financial need. www.KidsChance5K.org Kids’ Chance of Pennsylvania Annual 5/10K Walk/Run Events Fairmount Park - Philadelphia October 3, 2010 City Island – Harrisburg October 24, 2010 Kids’ Chance of Pennsylvania Helping Kids of Pennsylvania Reach the Finish Line www.KidsChance5K.org

2. Registration Form Please complete one form per person. Check one: _____ Philadelphia (Oct. 3) _____ Harrisburg (Oct. 24) Check one: _____ 5K RUN ____10K RUN _____ 5K WALK Name:______________________________ Address:____________________________ City:__________ ST________ Zip: ______ Phone:______________________________ Email: ______________________________ No refunds are available. Trophies and shirts will not be mailed. The following information is required: Check one: _____ Male _____Female Birth date _____/_____/_____ (mm/dd/yyyy) T-shirt size: Small Medium (Circle One) Large X-Large XX-Large Signature:__________________________ Date:________ Ready…Set… Go! 2010 Kids’ Chance 5/10K Walk/Run Philadelphia, PA Sunday, October 3, 2010 Time: 2:00 pm Registration: Wissahickon Valley - Fairmount Park Start/Finish: North Western Avenue and Forbidden Drive The Course This scenic, fast course trails through Fairmount Park and provides many runners their best times. Harrisburg, PA Sunday, October 24, 2010 Time: 2:00 pm Registration: Riverview Pavilion, City Island Start/Finish: Riverview Pavilion The Course This scenic, fast course will give many runners their best times. The 5K will start on City Island and proceed from Riverfront Park to Sunken Gardens and back to City Island. Those who choose to run the 10K will enjoy an extended route along this scenic course. Registration Fee $ 25 (Ages 11 & older) - Includes t-shirt $10 (Ages 10 & under) - Includes special gift Register Online at www.KidsChance5K.org Mail Form: Kids’ Chance of PA P.O. Box 543 Pottstown, PA 19464 Phone: 610-970-9143 Make Checks Payable to Kids’ Chance of PA Sponsorship Opportunities Not only is this a perfect way to show your support for the Kids’ Chance mission, it is also an ideal way to get your company’s name out to all the people in your target audience. Whether you are looking for positive PR, increased sales, or a team building project for your employees, we urge you to consider becoming a sponsor. We have created multiple levels of sponsorship to fit all budgets and provide maximum promotional exposure for our generous supporters. To learn more, visit our website www.KidsChance5K.org. Volunteer Opportunities For information about volunteering at either the Philadelphia or Harrisburg event, visit our website at www.KidsChance5K.org. Waiver: In consideration of accepting this entry, I, the under- signed, intending to be legally bound hereby, for myself and my heirs, executors, and administrators waive and release any and all rights and claims for damage I may have against the Kids’ Chance of Pennsylvania, City of Harrisburg, City of Philadelphia, or anyone associated with this event, their representatives, successors, and assigns for any and all injuries suffered by me in said event. I will additionally permit the free use of my name and pictures in all media. If walker/runner is under 18 years of age, parent /guardian must sign below. Awards & Age Groups 5/10K Awards: Trophies, Medals and Gift Certificates Top 3 Male/ Female Finishers (10 year age groups) Top 3 Male/Female Overall Pre-Register and Save: Philly, adult registration -$20.00 if paid before 9/17 Harrisburg, adult registration -$20.00 if paid before 10/8