Run For MIssions

Saturday, April 21, 2018

FUN RUN 5K Half Marathon
$15 $25 $50 $55
Includes Race Shirt and Goodie Bag! Starts Dec. 22nd
Register by April 15 for your
th

RACE SHIRT guarantee! $30 $35 $60 $65

RACE DAY REGISTRATION IS AVAILABLE! Starts Mar. 23 rd
Race Day Starts Mar. 16th
Race Day
[ Virtual Race option for the 5K and the Half Marathon race are the same prices and deadline dates listed above.]
Register online at: https://localraces.com/events/carthage-mo/run-for-missions-2018

MAKE A DIFFERENCE RACE DAY INFO Awards

The proceeds from the race this Packet Pickup: Age Group Awards
year will go towards Project April 20, 2018 Finisher Medals
Rescue. Project Rescue is a ministry Forest Park Baptist Church Joplin, MO
headquartered in Springfield, MO and 12:00 PM – 6:00 PM
“exists to rescue and restore victims Race Day Location:
of sexual slavery through the love and One Legget Road Carthage, MO
power of Jesus Christ”. The country
Half Marathon and 5K Start at 7:00 AM
we will be focusing on specifically is
Fun Run Starts at 7:30AM
Nepal. (For more info visit our Facebook.)
 RUN FOR MISSIONS
Registration Form
FIRST NAME: ____________________________ LAST NAME: ______________________________
GENDER (circle one): M F DATE OF BIRTH: _________________ AGE: _______________
PHONE: ________________________ ADDRESS: _________________________________________
CITY: __________________________ STATE: ___________________ ZIP: _____________________
EMAIL: _____________________________________________________________________________
Return this form /make checks payable to:
RACE SHIRT (circle one) : S M L XL XXL Run For Missions
392 E Fountain Rd.
AMOUNT INCLUDED : $___________________ Joplin, MO 64801
RACE DAY REGISTRATION IS AVAILABLE!

ENTRY FUN RUN 5K Half Marathon

FEE:
CIRCLE
$15
Includes Race Shirt
and Goodie Bag!
$25 $50 $55
Starts Dec. 22nd
YOUR $30 $35
RACE
(Virtual Race options for the Fun Run, 5K
and the Half Marathon race are the same
prices and deadline dates listed.)
$60 $65
Starts Mar. 23 rd
Race Day Starts Mar. 16 th
Race Day
WAIVER:
Acknowledgement of Inherent Risk, Waiver and Release
I know that running [volunteering for] a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly
trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative
to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and
agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat
and/or humidity, traffic and the conditions of the road [insert any specific risks related to your here, e.g. “the alligators who bask in the sun at the corner of 4th and Sunset St…”’], all such risks
being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will
abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release
the __________________ [Name of event], the city of ______________________, and the Road Runners Club of America, all event 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 this waiver. I
grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.
Waiver of Emergency Medical Treatment
I,______________________________________, the undersigned participant in the above event, acknowledge that I have suffered an injury or illness during said event and have been
offered medical assistance and/or transport to a medical facility for said injury. However, I have declined such medical assistance/transport to a medical facility and have willingly elected to
continue in the above event with full understanding that my conduct may increase my risk of serious injury or death, including other unknown risks not reasonably foreseeable at this time, and
that I willingly agree to assume all risk and accept personal responsibility for my actions and any damages as a result of such injury, including permanent disability or death, and I do hereby
release, discharge and covenant to indemnify and not to sue the organizer(s) of said event, its affiliated organizations and sponsors, employees and associated personnel, officers, directors,
agents, including the owners and lessors of premises used to conduct the event, and I also agree to save and hold harmless and indemnify each and all parties herein referred to above from all
liability, loss, cost, claim or damage whatsoever as a result of my actions referenced herein. I have read the above waiver/release and understand that I have given up substantial rights by signing
this release and sign below voluntarily. Race Number:___________________
Photo Release
4. I hereby grant permission to Run For Missions the right to use, reproduce, and/or distribute photographs, films, videotapes, and sound recordings of me, without compensation or approval
rights, for use in materials created for purposes of promoting the activities of Run For Missions.

Printed Name of Parent, Guardian or Adult Participant Printed Name of Minor Participant Date

Signature of Parent, Guardian or Adult Participant Signature of Minor Participant Date