CAF5 Summer 5K Fun Run/Walk - The Belleville Lake Current

bellevillelakecurrent.com

CAF5 Summer 5K Fun Run/Walk - The Belleville Lake Current

CAF5 Summer 5K Fun Run/Walk

AuguSt 14

VAn Buren pArk

50901 S. I-94 Service Dr. Belleville

This is a family event!

Bring your family to cheer on the

racers and enjoy FREE hot dogs,

VBT fire truck tour, face painting

and playground!

Registration: 7:45am

Kids 1K Fun Run: 8:15am

5K Run/Walk: 8:30am

Race fee is $10 Kids,

$20 Adults, $45 Family Max

SponSorS

Belleville Lake Current

• DTE Energy •

• Acho TShirts •

• Sumpter Market •

• Garden Fantasy •

• Steve & Amy Quinn •

The Envelope Printery, Inc •

• Accurate Analytical Testing, LLC •

• EQ •

• V3EA •

• Coca-Cola •

• VBASA •

• Garden Fantasy •

• Johnston Lithography, Inc •

• Michigan Education Association

• Pinter’s Greenhouse & Flowerland •

• Environmental Testing & Consulting, Inc •

Register in advance by downloading registration form at www.bellevillelakecurrent.com or

emailing editor@bellevillelakecurrent.com. Mail the form and check to Community Assistance

Foundation PO Box 221, Belleville, MI 48111. Please call 699-0068 for more information.


Community Assistance Foundation (CAF5)

5K Fun Run/Walk

August 14, 2011

Proceeds help provide prescriptions and eyeglasses to local children in need

Registration: 7:45 – 8:15 am

Kids 1K race: 8:15am

5k Walk/Run: 8:30am

Location:

Van Buren Park 50901 S. I-94 Service Dr. (just east of the K-Mart Plaza)

Belleville, MI 48111

Race Fees: $20 Adults $10 Kids

Family Cap: $45 please fill out one form per person

Contact Information:

Tabitha Pinter 734-732-8851

Lori Werner 734-255-0736

Mail Checks and Race Registration forms to:

CAF5

P.O. Box 221

Belleville, MI 48112

Name Age DOB

Address

City ___State Zip

Telephone Email Sex

Adult T-shirt sizes: S M L XL XXL

Child T-shirt Sizes: S M L

Athletic Race Shirts on the day of race while supplies last (registered runners automatically receive a shirt

in their packet at registration).

PLEASE READ AND SIGN RELEASE:

I know that running a road race is a potentially hazardous activity. I should not enter and run 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 risks associated with running in races, including, but not limited to: falls, contact with other participants, the

effect of the weather, including high heat and/or humidity or lightning, the conditions of the road and traffic on the course,

all risks being known and appreciated by me. Having read this waiver and knowing the facts and in consideration of your

acceptance of my entry in the race, I, for myself and anyone entitled to act on my behalf, waive and release the directors

of this race, the town of Warsaw, all sponsors, their representatives and successors, from 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 persons named in the waiver. I grant permission to all of the foregoing to any photographs, motion

pictures, recording, or any other record for legitimate purpose.

Signature

(Parent/Guardian Signature required if under 18 Years)

Date

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