Belleville Jingle Bell 5K Run/Walk & 1K Fun Jingle Bell 5K Run/Walk & 1K Fun Name _____...

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Saturday, December 2, 2017 Events and Time: Registration starts at 8:30 a.m. 1K Fun Run starts at 9:45 a.m. (includes festive goodies) 5K Run/Walk starts at 10:00 a.m. (includes long sleeve shirt to all pre-registered runners by Nov. 12) Location: Horizon Park in Downtown Belleville (on High St. between Main St. and Church St.) Information: Facebook @BellevilleJingleBellRunVBPSEF or [email protected] Pre-registration: Mail Application prior to Nov. 12—Make check payable to: VBPSEF VBPSEF,P.O. Box 640 Belleville, MI 48111 Or register online: http://hughesware.com/community-event/2017-belleville-jingle-bell-run/ Fees: 5K (19 and older) $30 before Nov. 12 and $35 after Nov. 12 5K (Students 18 and younger) $25 before Nov. 12 and $30 after Nov. 12 5K— Family (4 shirt limit, max runner 6 per family) $90 before Nov. 12 PRE-REGISTERED PRICE **One registration form per runner is required** $5 for 1K Fun Run *** Finisher medals for all Runners*** Awards: Most Festive, Jingliest, Overall Male and Female 5K, Masters Male and Female 5K, Top 3 in Age Group, Fastest Teacher, School w/most pre-registered students Belleville Jingle Bell 5K Run/Walk & 1K Fun Name _______________________________________________________________ Birthday_______________ Sex: M F Street Address _________________________________ City __________________ State _____ Zip _____ Phone ______________ Email _______________________________ School _____________________________________________________ Team Name_________________________________________ Waiver: I know that participating in a run/walk is potentially hazardous activity. I should not enter unless I am medically and properly trained. I assume all risks associated with participating in this event. In consideration of accepting this entry, myself and anyone entitled to act on my behalf, waive and release the Van Buren Public Schools Education Foundation and the City of Belleville, their representatives and successor, from all claims or liabilities of any kind arising out of my participation in this event. 5k Walk/Run Shirt Size: XS S M L XL XXL Teacher Student (Must be pre-registered by Nov. 12 to be guaranteed a shirt) 1k Fun Run Signature: _____________________________________________ Date: __________________________________ Parent/Guardian signature required if under 18 years of age. VBPSEF is a 501 (c) (3).

Transcript of Belleville Jingle Bell 5K Run/Walk & 1K Fun Jingle Bell 5K Run/Walk & 1K Fun Name _____...

Saturday, December 2, 2017

Events and Time: Registration starts at 8:30 a.m.

1K Fun Run starts at 9:45 a.m. (includes festive goodies)

5K Run/Walk starts at 10:00 a.m. (includes long sleeve shirt to all pre-registered runners by Nov. 12)

Location: Horizon Park in Downtown Belleville (on High St. between Main St. and Church St.)

Information: Facebook @BellevilleJingleBellRunVBPSEF or [email protected]

Pre-registration: Mail Application prior to Nov. 12—Make check payable to: VBPSEF

VBPSEF,P.O. Box 640 Belleville, MI 48111

Or register online:

http://hughesware.com/community-event/2017-belleville-jingle-bell-run/

Fees: 5K (19 and older) $30 before Nov. 12 and $35 after Nov. 12

5K (Students 18 and younger) $25 before Nov. 12 and $30 after Nov. 12

5K— Family (4 shirt limit, max runner 6 per family) $90 before Nov. 12

PRE-REGISTERED PRICE **One registration form per runner is required**

$5 for 1K Fun Run

*** Finisher medals for all Runners***

Awards: Most Festive, Jingliest, Overall Male and Female 5K, Masters Male and Female 5K, Top 3 in Age Group, Fastest

Teacher, School w/most pre-registered students

Belleville Jingle Bell

5K Run/Walk & 1K Fun

Name _______________________________________________________________ Birthday_______________ Sex: M F

Street Address _________________________________ City __________________ State _____ Zip _____

Phone ______________ Email _______________________________

School _____________________________________________________ Team Name_________________________________________

Waiver: I know that participating in a run/walk is potentially hazardous activity. I should not enter unless I am medically and properly trained. I assume all risks associated

with participating in this event. In consideration of accepting this entry, myself and anyone entitled to act on my behalf, waive and release the Van Buren Public Schools

Education Foundation and the City of Belleville, their representatives and successor, from all claims or liabilities of any kind arising out of my participation in this event.

5k Walk/Run Shirt Size: XS S M L XL XXL Teacher Student (Must be pre-registered by Nov. 12 to be guaranteed a shirt)1k Fun Run

Signature: _____________________________________________ Date: __________________________________ Parent/Guardian signature required if under 18 years of age.

VBPSEF is a 501 (c) (3).