HomeAID for Africa                                                           

5K Run      1 Mile Fun Run/Walk

Sunday, October 17, 2010 at 3:00 pm

Westtown School’s Cross Country Course, West Chester, PA

                         PRIZES!

Registration by 10/3:

5K - Adult $20,  Youth $15 

1 Mile (any age) $15

(Guarantees a HomeAID for Africa t-shirt)

Late-registration after 10/3:

5K - -Adult $25, Youth $20

1 Mile - $20

   (Mile participants will receive t-shirts while supplies last)

Run Day Registration starts at 2:00 pm

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Registration form

Name:_______________________________________________________

Address:_____________________________________________________

5K_________     1 Mile_______

Shirt size: Adult S__ M__ L__XL__   Child S__ M__

[     ] Pre-registration (Adult $20 or Youth $15 (6-14 years old) if postmarked by 10/03/2010)

[     ] Late registration (Adult $25 or Youth $20; postmarked after 10/3 and on race day)

WAIVER:  In consideration of the acceptance of this entry, I hereby waive and release all my rights and claims from damages that I or my heirs may have against HomeAID for Africa, Westtown School, West Chester Running Store, its officials, sponsors, and volunteers.  I hereby certify that I have properly trained for this event and have been medically certified to be able to participate in this event. (Parents sign if under 18.)

Signature________________________________________________Date____________________

Make checks payable to:  HomeAID for Africa

Mail to:   John Lavin  22 West Miner Street  West Chester, PA 19382

               

HomeAID for Africa’s mission is to advocate for and assist those affected by HIV/AIDS in Africa, especially women and children (infected, non-infected, or orphaned).