Lily’ s Hope 5K Registration
Lily’ s Hope 5K Registration
A Message from The Weaver Family about Lily’ s Hope 5K After five years of remission, Ewing’ s Sarcoma is back. Lily, now, age 16 is older, wiser, stronger, and ready to beat cancer again. The past five years have left Lily constantly giving back to her community through PPF and Lily ' s HOPE, helping other families who are faced with cancer. Last year Lily became a childhood cancer advocate with TheTruth365, speaking in front of thousands demanding that childhood cancer gets more than 4 % of funding. Lily has a tough road ahead of her with treatment, however, we know with Lily ' s twinkling personality, her strong faith, and the love of family, friends, and this community, cancer won ' t know what hit it.- The Weaver Family
Sunday, November 12, 2017
West Winds Tennis & Fitness Center 11411 Gas House Pike New Market, MD 21774
One person can make a difference. Together, we can change the world.
For details on sponsorship and volunteer opportunities, contact lilyshope5k @ hotmail. com.
Online registration open through November 9, 2017.
Packet Pick Up and Onsite Registration: Saturday, November 11 3:00— 6:00 pm, West Winds Tennis Club Sunday, November 12 7:00— 8:30 am, West Winds Tennis Club
Race Day Schedule: 5K Run / Walk Start 9:00 am
Post-Race Party:
� Entertainment
� Snacks and drinks at the finish line
� Awards ceremony recognizing top finishers
ENTRY FEES: |
Individual |
$ 25 |
Team( up to 10 individuals / team) |
$ 250 |
Water Station Sponsor ** |
$ 250 |
Finish Line Sponsor ** |
$ 250 |
Starting Line Sponsor ** |
$ 250 |
Awards Sponsor ** |
$ 500 |
Yellow Ribbon Presenting Sponsor ** $ 1,000 |
** Includes up to six registrations |
Register by mail: Mail completed registration form and check made payable to PPF, Inc.: Lily’ s Hope 5K 7820B Worman’ s Mill Road, # 305 Frederick, MD 21701
Register online through 11 / 9 / 17: https:// runsignup. com / Race / Md / NewMarket / LilysHOPE5KRunWalk
Team Name( if applicable):_____________________________________________
Address Phone
Name Birthdate( dd / mm / yyyy) Gender Run / Walk? Fee
Email Address
M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk M F Run Walk
Registration Total: Sponsorship( see back):_____________
Additional Donation / Pledges:
Checks must be made payable to the PPF, INC.
TOTAL:
PPF, INC. is a 501c3 organization. No goods or services, in whole or in part, were received by the donor for this contribution.
Release: In consideration of the acceptance of my entry, I for myself, executors, administrators and assignees, do hereby release and discharge the event organizers, Lily’ s Hope, PPF, Inc., and their sponsors and volunteers of all claims or liabilities of any kind arising from my participation in the event, including injury or loss or damage to personal property. I have full knowledge of the risks involved in this event and am physically fit and sufficiently trained to run / walk in this event. Further, I grant permission for the use of any photograph or recording of this event for legitimate purposes.
____________________________________________ |
________________________________________________ |
_________________ |
Participant Printed Name |
Signature |
Date |
If participant is under the age of 18: I am the legal guardian of Participant and hereby consent to his / her participation. I have read the foregoing release and agree on behalf of myself |
and the Participant to its terms. |
____________________________________________ |
________________________________________________ |
_________________ |
Parent / Guardian’ s Printed Name |
Signature |
Date |