Run For The Family
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Run for the Family
Family Fun Run + other activities Saturday 21 October 2006 3/6km Run/Walk Ruffey Lake Park, Doncaster. Melway Ref: 33 G9 9.30am registration 10.30am start for 3km 11.00am start for 6km Start/finish area: Enter off George St at The Boulevarde.
Family First Eastern Metro PO Box 7098 Wattle Park. Victoria 3128 Ph: 0401 826 666 Fax: 03 9833 5572 www.familyfirst.org.au
Family First Eastern Metro: PO Box 7098, Wattle Park Victoria 3128. Ph: 0401 826 666. Fax: (03) 9833 5572
Run for the Family Saturday 21 October 2006
Recommendations for participation: 3/6km Run/Walk
Other activities: Jumping castle, face painting, food stalls and much more. Ruffey Lake Park, Doncaster. Melway Ref: 33 G9 9.30am registration 10.30am start for 3km 11.00am start for 6km
It is recommended that you seek medical advice to ensure that you are fit to compete and that this advice is obtained regularly and with the specific demands of this event in mind. You should also take appropriate steps to ensure that you are hydrated prior to and during the event.
Start/finish area: Enter off George St at The Boulevarde.
How to enter*:
Race number:
Race numbers will not be sent but will be made available for pick up after 9.30am on event day.
Entry fees: • • • • •
1. 2. 3. 4. 5.
Adults $25 Children (under 16 yrs old) $15 Family (2 adult, 2 children) $65 Sponsorship forms available On day entries accepted with $5 surcharge
Complete entry form with payment and return to Family First Volunteer Post completed entry form and payment to PO Box 7098, Wattle Park Victoria 3128 Email completed form with credit card details to: [email protected] Phone Family First Office on 0401 826 666 with details ready Fax after 5pm the completed entry form to (03) 9833 5572 with credit card details
* Close of registrations as of 5pm Wed 18th October. On day entries accepted with $5 surcharge.
Entry Form First name
Last name
Birth date (day/month/year)
1 Address Street name Suburb
Telephone Postcode
Email
Electoral District (if known) First name
Last name
Birth date (day/month/year)
2 3 4 Payment Details Payment enclosed for: Quantity: Adult _______ (x$25) Children _______ (x$15) Family _______ (x$65)
$ Amount $_________ $_________ $_________
Please find enclosed my cheque/money order for $ ____________
TOTAL
$_________
or debit my Card number
BANKCARD
MASTERCARD
VISA
__ __ __ __ / __ __ __ __ /__ __ __ __ / __ __ __ __
Ong Signature: Gary __________________________ Expiry date: __ __ / __ __
Declaration: • • •
• • • •
I have read the conditions of entry for this event and understand the demanding physical nature of the event. I have trained for this event and not aware of any medical condition or impairment that will be detrimental to my health if I participate in this event. In the event that I become aware of any medical condition or impairment, or am otherwise sick or injured, prior to the event, I will withdraw from the event. I acknowledge that participating in this event may involve a real risk of serious injury or even death from various causes including: over-exertion, dehydration and accidents with other participants, spectators or road-users. I acknowledge that it is a condition of participating in this event that I do so at my own risk. I accept all risk and release the event organisers, its agents, affiliates, employees, members, sponsors, promoters, volunteers and any person or body directly or indirectly associated with the event, from all claims, demands and proceeding arising out of or connected with my participation on this event and I indemnify them against all liability for all injury, loss or damage arising out of or connected with my participation in this event. This release continues forever and binds my heirs, successors, executors, personal representations and assigns. I acknowledge that I have sole responsibility for my personal possessions and equipment during the event. I consent to receive such medical treatment which may be deemed advisable in the event of injury, accident and/or illness during the event I agree that if the event is cancelled due to storm, rain, inclement weather, winds or other ‘Acts of God’ conditions or other factors beyond the control of the event organizers, my entry fee shall be non-refundable. I consent to my details being used to keep me updated with Family First news.
Signatures of entrants 1. _____________________ 2. _____________________ 3. _____________________ 4. _____________________ I would not like to receive future Family First updates [tick] [ Signature of parent or guardian if under 18 years old
]
[
]
[
]
[
]
Family First Eastern Metro: PO Box 7098, Wattle Park Victoria 3128. Ph: 0401 826 666. Fax: (03) 9833 5572
Run for the Family Sponsorship form:
If you would like to further support Family First (apart from the entry fee) by being sponsored to run at the Run for the Family event, please become a Sponsored Runner.
Your details First name
Last name
Birth date (day/month/year)
Address Street name Suburb
Telephone Postcode
Email
Electoral District (if known)
Sponsor details: Page ____ of _____ First name
Last name
Telephone
Sponsored amount $
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 TOTAL _______________________ Declaration: I acknowledge that all monies collected as a result of the Run for the Family event has been appropriately collected and distributed back to Family First. Signature: ________________________________________ Signature of parent or guardian if under 18 years old
Family Fun Run + other activities Saturday 21 October 2006 3/6km Run/Walk Ruffey Lake Park, Doncaster. Melway Ref: 33 G9 9.30am registration 10.30am start for 3km 11.00am start for 6km Start/finish area: Enter off George St at The Boulevarde.
Family First Eastern Metro PO Box 7098 Wattle Park. Victoria 3128 Ph: 0401 826 666 Fax: 03 9833 5572 www.familyfirst.org.au
Family First Eastern Metro: PO Box 7098, Wattle Park Victoria 3128. Ph: 0401 826 666. Fax: (03) 9833 5572
Run for the Family Saturday 21 October 2006
Recommendations for participation: 3/6km Run/Walk
Other activities: Jumping castle, face painting, food stalls and much more. Ruffey Lake Park, Doncaster. Melway Ref: 33 G9 9.30am registration 10.30am start for 3km 11.00am start for 6km
It is recommended that you seek medical advice to ensure that you are fit to compete and that this advice is obtained regularly and with the specific demands of this event in mind. You should also take appropriate steps to ensure that you are hydrated prior to and during the event.
Start/finish area: Enter off George St at The Boulevarde.
How to enter*:
Race number:
Race numbers will not be sent but will be made available for pick up after 9.30am on event day.
Entry fees: • • • • •
1. 2. 3. 4. 5.
Adults $25 Children (under 16 yrs old) $15 Family (2 adult, 2 children) $65 Sponsorship forms available On day entries accepted with $5 surcharge
Complete entry form with payment and return to Family First Volunteer Post completed entry form and payment to PO Box 7098, Wattle Park Victoria 3128 Email completed form with credit card details to: [email protected] Phone Family First Office on 0401 826 666 with details ready Fax after 5pm the completed entry form to (03) 9833 5572 with credit card details
* Close of registrations as of 5pm Wed 18th October. On day entries accepted with $5 surcharge.
Entry Form First name
Last name
Birth date (day/month/year)
1 Address Street name Suburb
Telephone Postcode
Electoral District (if known) First name
Last name
Birth date (day/month/year)
2 3 4 Payment Details Payment enclosed for: Quantity: Adult _______ (x$25) Children _______ (x$15) Family _______ (x$65)
$ Amount $_________ $_________ $_________
Please find enclosed my cheque/money order for $ ____________
TOTAL
$_________
or debit my Card number
BANKCARD
MASTERCARD
VISA
__ __ __ __ / __ __ __ __ /__ __ __ __ / __ __ __ __
Ong Signature: Gary __________________________ Expiry date: __ __ / __ __
Declaration: • • •
• • • •
I have read the conditions of entry for this event and understand the demanding physical nature of the event. I have trained for this event and not aware of any medical condition or impairment that will be detrimental to my health if I participate in this event. In the event that I become aware of any medical condition or impairment, or am otherwise sick or injured, prior to the event, I will withdraw from the event. I acknowledge that participating in this event may involve a real risk of serious injury or even death from various causes including: over-exertion, dehydration and accidents with other participants, spectators or road-users. I acknowledge that it is a condition of participating in this event that I do so at my own risk. I accept all risk and release the event organisers, its agents, affiliates, employees, members, sponsors, promoters, volunteers and any person or body directly or indirectly associated with the event, from all claims, demands and proceeding arising out of or connected with my participation on this event and I indemnify them against all liability for all injury, loss or damage arising out of or connected with my participation in this event. This release continues forever and binds my heirs, successors, executors, personal representations and assigns. I acknowledge that I have sole responsibility for my personal possessions and equipment during the event. I consent to receive such medical treatment which may be deemed advisable in the event of injury, accident and/or illness during the event I agree that if the event is cancelled due to storm, rain, inclement weather, winds or other ‘Acts of God’ conditions or other factors beyond the control of the event organizers, my entry fee shall be non-refundable. I consent to my details being used to keep me updated with Family First news.
Signatures of entrants 1. _____________________ 2. _____________________ 3. _____________________ 4. _____________________ I would not like to receive future Family First updates [tick] [ Signature of parent or guardian if under 18 years old
]
[
]
[
]
[
]
Family First Eastern Metro: PO Box 7098, Wattle Park Victoria 3128. Ph: 0401 826 666. Fax: (03) 9833 5572
Run for the Family Sponsorship form:
If you would like to further support Family First (apart from the entry fee) by being sponsored to run at the Run for the Family event, please become a Sponsored Runner.
Your details First name
Last name
Birth date (day/month/year)
Address Street name Suburb
Telephone Postcode
Electoral District (if known)
Sponsor details: Page ____ of _____ First name
Last name
Telephone
Sponsored amount $
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 TOTAL _______________________ Declaration: I acknowledge that all monies collected as a result of the Run for the Family event has been appropriately collected and distributed back to Family First. Signature: ________________________________________ Signature of parent or guardian if under 18 years old
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