OffCenter Thrift & Gift

Presents

The Turlock Chaplaincy

9th Annual
1 Mile, 5k & 10k Fun Run
Saturday, April 21th, 2018, 9:00am
Start: CSU Stanislaus
Flat loop through a beautiful CSUS campus
Entry Fee: $25 Preregistered/$30 Race Day for 5K or 10K
$10 Preregistered/$15 Race Day for the 1 Mile
Every finisher receives a medal!
Awards: 1st, 2nd, and 3rd place medals awarded in ten year increments through 60+
Plaques to overall Male and Female finisher

Register at active.com or contact Jennifer Hall @ jhall14@yahoo.com for information

Turlock Chaplaincy, Inc. 1 Mile, 5k & 10k Fun Run

Name Street Address

City State Zip

Phone E-mail Address

Male / Female (Circle) Age on Race Day 5k 10k 1mile

Not Running/Donation Only

I have enclosed my registration fee/donation in the amount of $

Please make checks out to: Turlock Chaplaincy, Inc.
Please mail registration form to:
Turlock Chaplaincy, Inc.: C/O Jennifer Hall, 2030 Kings Ct., Turlock, CA 95382
PARTICIPANT WAIVER AND RELEASE: (the following must be signed to prior to the race) I understand and
acknowledge that a running/walking event poses risks to me, including the risk of physical or emotional injury or
damage, including serious injury or death to myself, to property, or to third parties. I hereby, for myself, my heirs,
executors and administrators, waive, release and forever discharge Turlock Chaplaincy, Inc., a California non-
profit corporation, and all officers, directors, employees, agents, race management, and volunteers of the
organization, and their representatives, successor and assigns, acting officially or otherwise, from any and all
claims, demands, actions or causes of action which in any way arise from my participation in the above noted
event, including pre- and post-race activities. I also grant Turlock Chaplaincy the right to use any images of me
taken at the race. I have read and understand this document, and agree to be bound by its terms.

Signed: Date:
(If you are under 18 years old, your parent/legal guardian must complete and sign the form on the back.)