Autism Sensory 5k & Walk

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Alpha Xi Delta presents their 1st:

Autism Sensory 5k & Walk

Proceeds benefit Autism Speaks.

PRIZES

Date:

Prizes will be awarded for overall first place male and female.

Time: Pre-register by: Entry fees: $25– 5k and Sensory walk $15– Just the sensory walk

Check  out  our  website  at   http:// kent.alphaxidelta.org

Shirts included for all who register before September 14th. After this date the prices will be the same but shirts are not guaranteed.

This  5K  is  a  scenic  tour  through  Kent   State  University  and  also  a  sensory   walk.  People  affected  by  autism  are   very  familiar  with  and  use  their  senses   all  the  time;;  because  of  this  we  will   have  a  walking  path  with  sensory  and   educational  stations  to  help  create  an   interactive  learning  environment  for  all.   Proceeds  and  donations  will  benefit   Parking  is  free.  Please   park  in  the  lots  in  front  of   the  Kent  State  University   Student  Center.   Volunteers  will  direct  you   to  check-in  from  there!

For more information or help registering contact:

Mail form and entry fee to:

Alpha Xi Delta 571 South Lincoln Street Kent , Ohio 44240

Name

Address

Phone T-shirt  Size:

Email: [email protected]

Release  and  waiver  of  Liability:  I,  the  undersigned,  in   consideration  of  the  opportunity  to  participate  and  the   acceptance  of  my  entry  in  this  event,  intending  to  be  legally   bound,  do  hereby,  on  behalf  of  myself,  my  heirs  and  legal  and   personal  representative,  release,  waive  and  forever  discharge   any  and  all  claims  for  injuries  and  damages  to  my  person  or   property.  I  further  state  that  I  am  medically  able  and  properly   trained  for  this  run  and  grant  authorization  for  the  use  of  my   name  and/  or  photographs.

Sex

S

M

L

XL Age  on  race  day  

Signature

Date

Signature  of  parent  or  guardian  if  under  18  years  of  age.

Date