SuperKids 5K: Run for Orphans

You can run it or walk it; participate competitively or for fun! Everyone is welcome, so please come & enjoy a beautiful day at the park! Strollers and dogs are permitted as well.

Prizes awarded to the top males and females in the following age groups:(Under 19) (20-29) (30-39) (40-49) (50-59) (60+)

Not going to be around for race day? Support the cause by being a Spirit Runner for SuperKids: You will receive a race T-shirt as a thank you for supporting SuperKids.

For More Information, contact Keely O’Dell : 303.918.4801 or kodell42@gmail.comBe sure to visit the blogs: superkidscharity.blogspot.org, superninos.wordpress.com---------------------------------------------------------------------------------------------------------------------------------------

ENTRY FORM & WAIVERFirst Name: ______________________ Last Name: ___________________________ ____Male ____Female

Street Address: _____________________________ City:__________________ State: ______ Zip: _________

Phone Number: ______________________________ E-Mail: ______________________________________

Age on race day: _______ T-Shirt Size: ___youth M ___S ___M ___L ___XL

Runner/Walker____ Pre-register by mail by internet $25.00 (Guaranteed a t-shirt if received prior to August 1st)

____ Day of Race: $30.00 (T-shirt while supplies last)

Spirit Runner____ $25.00 until day of race (T-shirt Guaranteed)

_______ Cash ________ Check Number ______ Additional Donation Amount

Please make checks payable to: Gladney Center for Adoption- Superkids (include 5k 2013 in the memo line) & mail registration form & payment to: PO Box 335, Strasburg, CO 80136Please Note: This event is rain or shine. There will be no refunds.

WAIVER: I hereby waive all claims against Superkids 5K or anyone associated with it for any personal injury I might suffer in/at this event I attest that I am healthy and physically able to participate and that I am 18 years of age or with a legal guardian’s consent. I grant permission to use photos or records of myself to the Superkids 5K committee.

Signature of Participant: __________________________________________

Signature of parent/guardian (if under 18): __________________________________________

August 11, 2013Registration:6:30-7:30 a.m.Race Begins:

8:00 a.m.

Strasburg Valley Bank56641 East Colfax Avenue

Strasburg, CO 80136

Please join us for the fourth annual SuperKids 5k: Run For Orphans, August 11th to raise money for SuperKids, an organization that aims to improve the quality of lives of orphans worldwide.