Relay for Life event set for May 15
March 31, 2010
Members of Team Brownells are getting ready for their company's participation in the Relay for Life 5k Walk and 10k Run on May 15 at Diamond Lake Park.
The start at finish will be at the Foster Center and the course will be clearly marked. The event is a benefit for the American Cancer Society.
Registration is $15. The first 100 to register will receive a Team Brownells Relay for Life Run/Walk t-shirt.
If you know folks who wish to contribute to the ACS or Relay for Life, but do not want to walk, check on the line on the registration form below and Team Brownells will send you a pledge authorization card and a pledge sheet.
Relay for Life represents the hope that those lost to cancer will never be forgotten; that those who face cancer will be supported; and that one day, cancer will be eliminated.
Check-in on face day will be at 7:40 a.m. at the Foster Center. You are asked to pre-register if possible.
For more information, contact us at elisab@brownells.com or call 641-623-5401.
Registration Form
Please complete a form for each participant. Registration fee is nonrefundable.
Check payable to: Team Brownells Relay for Life
Send registration form and fee to: Brownells Relay for Life, %Elisa Bardole, 200 S. Front St., Montezuma, Iowa 50171.
Name___________________________________________
Parent/Guardian name (for participants under age 18)_______________________________
Phone_________________e-mail address______________________
City__________________ State_________ Zip_________
Shirt size (please circle) Adult S M L XL XXL
The Run/Walk fee is a donation of $15 or more benefiting American Cancer Society.
Amount enclosed $__________
_____I will be collecting pledges and request of pledge authorization card and pledge sheet be mailed to be at the above address.
Have you participated in Team Brownells Run/Walk before? ____Y _____N
I hearby certify that I assume full and complete responsibility for any injury or accident which may occur during my participation in this event and I hereby agree to hold harmless Brownells, the sponsors, organizers and volunteers of this event from any and all injury and damage, whether cause by negligence of the sponsors or promoters or other persons on entities associated with the event or their agents or employees or otherwise. This wavier shall be binding on my heirs, legatees, administrators, or assigns.
Signature (parent/guardian if under 18)_________________________ date____________________