York Preparatory Academy
Administration use only: Paid______ Ck#______ Cash_____ Date Form Returned: __________
When: Saturday October 1st, 2016 at 8am. Where: York Preparatory Academy: 1047 Golden Gate Court, Rock Hill, SC Course: The course is varied terrain through the beautiful YPA campus with LOTS of Color Stops! The race will begin beside the High School building and end at the same point. Fees: Pre-registration (5K): $25 due by September 16th Pre-registration (Children’s Fun Run): $5 without a shirt; $10 with a shirt Day of Race: $25 no shirt guaranteed (Registration will close on race day at 7:45) Packet Pick-Up: Friday September 30th from 3:45-5:30 at the Student Union Building on YPA campus and 7:30am Saturday October 1st. Prizes: Medals will be given for 1st, 2nd, and 3rd place in Male and Female categories. Children participating in the fun run will also receive a medal. Race Information: The Color Run will begin promptly at 8am. The Fun Run will follow at 9:15 with awards ceremony immediately following. Please join us after the race for the Community Fall Festival. One form per participant. Checks made be payable to YPA. All forms must be mailed in or dropped of at the finance office in the YPA in the Student Union: Attn: Color Run 1047 Golden Gate Court, Rock Hill, SC 29732
Name: Phone Number: Emergency Contact: Email Address: Circle One T-shirt Size: Youth: S M L
Circle One: Male Female Emergency Contact Phone Number:
Adult:
S
M
L
XL
XXL
In consideration of the acceptance of this entry to the York Preparatory Academy 5K and/or Fun Run, I waive all claims for myself, my heirs and assigns against, and hereby release the York Preparatory Academy, the City of Rock Hill and other sponsors, and any other person assisting on a voluntary basis or otherwise, in putting on the event, for any liability to me or them including injury which might result from my participation. I further state that I am in proper physical condition to participate in the York Preparatory Academy Color Run/Fun Run.
Print Name: _________________________________________________________________ Print Minor’s Name (if applicable): _______________________________________________ Adult/Parent/Guardian’s Signature: ______________________________________________ Date: __________________________
When: Saturday October 1st, 2016 at 8am. Where: York Preparatory Academy: 1047 Golden Gate Court, Rock Hill, SC Course: The course is varied terrain through the beautiful YPA campus with LOTS of Color Stops! The race will begin beside the High School building and end at the same point. Fees: Pre-registration (5K): $25 due by September 16th Pre-registration (Children’s Fun Run): $5 without a shirt; $10 with a shirt Day of Race: $25 no shirt guaranteed (Registration will close on race day at 7:45) Packet Pick-Up: Friday September 30th from 3:45-5:30 at the Student Union Building on YPA campus and 7:30am Saturday October 1st. Prizes: Medals will be given for 1st, 2nd, and 3rd place in Male and Female categories. Children participating in the fun run will also receive a medal. Race Information: The Color Run will begin promptly at 8am. The Fun Run will follow at 9:15 with awards ceremony immediately following. Please join us after the race for the Community Fall Festival. One form per participant. Checks made be payable to YPA. All forms must be mailed in or dropped of at the finance office in the YPA in the Student Union: Attn: Color Run 1047 Golden Gate Court, Rock Hill, SC 29732
Name: Phone Number: Emergency Contact: Email Address: Circle One T-shirt Size: Youth: S M L
Circle One: Male Female Emergency Contact Phone Number:
Adult:
S
M
L
XL
XXL
In consideration of the acceptance of this entry to the York Preparatory Academy 5K and/or Fun Run, I waive all claims for myself, my heirs and assigns against, and hereby release the York Preparatory Academy, the City of Rock Hill and other sponsors, and any other person assisting on a voluntary basis or otherwise, in putting on the event, for any liability to me or them including injury which might result from my participation. I further state that I am in proper physical condition to participate in the York Preparatory Academy Color Run/Fun Run.
Print Name: _________________________________________________________________ Print Minor’s Name (if applicable): _______________________________________________ Adult/Parent/Guardian’s Signature: ______________________________________________ Date: __________________________
