Drew University Ranger Run

Friday May 8^th, 2009

All proceeds from the event will be given to Kelly Cogswell, who is suffering from Mitochondrial Disease.

When:             Friday, May 8^th, 2009 5K Run at 7:00pm Start. (Rain or Shine)

Same Day Registration ($20.00) & Race Check-in: Begins at 6:00pm – Numbers & T-shirts will be given out.

Where:           Drew University Athletic Center, 36 Madison Ave, Madison NJ 07940.

Register:         By mailing in application no later than April 24^th, 2009.

Entry Fee:      $10.00 Students; $20.00 Non-Student

Sponsor:         Student Athlete Advisory Committee

Incentives:      T-shirts to all pre-registered runners.  Race day registration while supplies last.

Prizes will be awarded to the top three male and female runners. 

                        Post race refreshments will be served.

Course:           A beautiful, challenging route, mainly contained on Drew’s 186 acre campus.

Release and waiver (Please Read and sign)

            I know that running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that, although police protection might be provided, there could be traffic on the course route; therefore, I assume the risk of running in traffic. I also assume any other risks associated with running this event including, but not limited to, falls, contact with other participants, and the effects of weather and conditions of the road. I understand I am solely responsible for my own safety while traveling to and from or participating in this event.

                Knowing these facts and inconsideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might sue on my behalf covenant not to sue, and waive, release, and discharge the sponsors or contributors to this event, any race officials, volunteers, the city and police agencies, their representatives successors or assignees from any and all claims of liability for death, personal injury, or property damage of any kind or nature whatsoever arising out of, or in the course of my participation.

                The release form and waiver extends to all claims of every kind or nature whatsoever, foreseen and unforeseen, known and unknown. The undersigned further grants full permission to us e any photographs, videotapes, motion pictures, recordings, or another record of the event for any purpose. (Minors will be accepted with a parent’s signature.)

                I also agree to pay the entry fee to this race which will go towards the fundraising efforts of the Student Athlete Advisory Committee.

Signature: _____________________________Date: __________________

Name_________________________________________________________________

Address_______________________________________________________________

City_______________________ State_____________ Zip Code__________________

Home Phone____________________ Work Phone_____________________________

Email address___________________________________________________________

Age_________________ Male_____ Female____

Student: Yes______ No_____           If yes, please write down ID #:________________

T-Shirt Size (circle one):        S          M        L         XL      2XL

Make Checks Payable to Drew University Athletics and Mail to:

Dara Blum Facciani, Drew University 36 Madison Ave, Madison, NJ 07940.

Questions: Contact Dara Blum Facciani – (973)408-3526 or dblum@drew.edu

Thank you for your participation!