Walk-Run For Memories Benefitting Dementia & Alzheimer's Research Presented By The Students Of Saint James School:

All Proceeds Will Benefit The Alzheimers Association To Further Better Care And To Fund Research.
Date: Saturday April, 5th 2014 Where: 17641 College Rd, Hagerstown MD; Saint James School. Course: See Our Facebook Page, Or Website For The Course Map. Time: Race Day Registration Starts 7:30AM Race/Walk 9:00AM Age Groups (Places 1-3): Male Overall, Female Overall, 14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+ Registration Fees: Run or Walk $25 Donation, Which Includes An Event T-Shirt Our Website: www.runformemories.org About The Event: It Will Be A Morning Of Fun And Wellness For The Whole Family, With Booths Set Up By Our Sponsors, And A Chance To Learn About The Disease.
*Those Pre-Registered Are Guaranteed A T-Shirt, A Limited Number Of Race Day T-Shirts Are Available.

Register Now At RunForMemories.org

Walk/Run For Memories Benefitting Dementia & Alzheimer's Care OFFICIAL REGISTRATION:
Name: First: | Last: | | | / | | | | | / | | | | | | | | | | | | | | | Male 5k Run | | | | | |

Date Of Birth: |

Gender; Circle One: 5k Walk

Female

Age On 04/05/2014 |_______|

Circle Event:

Street Address: ____________________________________________________________ City: ______________________________ State: ________ Shirt Size, Adult Sizes: Circle One: S M L XL Zip Code: ____________

Donation Amount ($25 Donation): ______________ Please Mail Registration To: Or Register Online At RunForMemories.org Run Of Memories 17641 College Rd. Hagerstown MD, 21740 *Checks Should Be Made Out To: Saint James School *Please Mail Registration By 03/22/14; Or Register Online www.imathlete.com/events/runformemories

Contact The Race Director At: info@runformemories.org

INFORMED CONSENT/RELEASE OF LIABILITY: I understand that participation in the 2014 Walk/Run For Memories presents certain risks and hazards, including but not limited to: muscle strains and sprains, bruises, broken limbs, dehydration, other serious medical problems or even death and other ordinary risks associated with strenuous physical activity. I acknowledge I do not have a past or present medical condition that may be affected by participating in this Activity or that I have obtained clearance from a physician before participating in this Activity. I voluntarily assume full and complete responsibility for any injury or accident, which may occur to me or my property during or in connection with this event. I hereby voluntarily Release, Waive, and Discharge Walk/Run For Memories, and their servants, agents, employees, participants, and volunteers assisting with this event (hereinafter RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever, whether such liability is based on negligence, arising out of or related to any loss, damage, or injury that may be sustained by me or to any property belonging to me while participating in the event. I further agree to Indemnify and Hold Harmless the Releasees from any loss, liability, damage or costs, I may incur due to my participation in this Activity. This Agreement also shall bind the members of my family and spouse (if any).

Signature (18+ Years): ___________________________________________ Date: ______________ Signature (Participant): __________________________________________ Date: ______________