Apr 4, 2015 - Kiwanis First Annual Bunny Hop ... Free bunny ears for the first 100 pre-registered participants ... PO Bo
Kiwanis First Annual Bunny Hop
4K Fun Run * 10:00 am Saturday, April 4, 2015
Blue Ridge Community College Campus * Rain or Shine Registration is $15 per person OR $10 per person for groups or families of four or more (requires registration and payment at the same time). Day of Run registration: $20 per person Registrations received after March 20 or day of race – no T-shirt size guaranteed. Free bunny ears for the first 100 pre-registered participants This is not a sanctioned race – this is a Fun Run for all ages! Places will not be tallied
Name: __________________________________ Age on 4/4/15: _____ Mailing Address:____________________________________________ __________________________________________________________ Phone: ______________ Emergency Contact: ____________________ Email Address: _____________________________________________ Youth Adult
S S
M M
T-shirt Size (circle one) L L XL
XXL
XXL
Each “Hopper” must fill out a registration with waiver For All Registrants (Hold Harmless Agreement) I understand that participating in this event may be a hazardous undertaking, and I hereby indemnify and hold harmless for my safety Kiwanis International and Hendersonville Kiwanis Club, or any agent or agency affiliated thereof. I hold the aforementioned entities free and harmless from and against any and all losses, injuries, damages, settlements, costs, charges, attorney fees, or other expenses or liabilities of any kind and character to any person or to my personal property which I may suffer, and hereby waive all claims, liens, demands, obligations, actions, proceedings or causes of action of every kind and character arising out of or relating to the Kiwanis Bunny Hop in any way. My personal safety and the safety of my property is my own responsibility and there are no expectations as to the responsibilities of Kiwanis International, Hendersonville Kiwanis Club, or any affiliated individuals or entities. Signature _____________________________________________________ Date ________________ Participant/Parent/Guardian
Make check payable to & return form with payment to: Hendersonville Kiwanis Club Foundation PO Box 2138, Hendersonville, NC 28793
