Ryan’s Reindeer Run
 email robertahumphries@nc.rr.com or call 910-670-9497  
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​ Registration Form - Ryan’s Reindeer 5K Run/Walk
Saturday December 15, 2018
Name ____________________________________                                                Race Location: Medical Arts Bldg
Address___________________________________                                               Downtown Fayetteville 101 Robeson St.
City ___________________State_____ Zip_______                                               Packet pick up and registration:  Friday Dec. 14, 2018
Contact Phone # _____________________________                                            5pm-8pm at the Child Advocacy Center
E-Mail ____________________________________                                                222 Rowan Street Fayetteville, NC 28301
Age on Race Day _______ Date of Birth __________                                              12/15/18 Beginning at 7:00am packet pick up
Male ________ Female _________                                                                             and same day registration at race location.
Adult Long Sleeve T- Shirt size (Please Circle): S, M, L, XL, 2XL($3 extra)  3XL ($5 extra)     RACE START 8:30 AM                                
Youth Long Sleeve T-Shirt size (please circle): YS, YM, YL .
To guarantee a T-shirt registration must be received by November 30, 2018. 
Entry Fees
 $25.00 Individual Runner/Walker, After November 16: $30.00
Under 13 runner/walker $15.00, after November 16: $20.00
Family Entry: $75.00, After November 16: $90.00 (includes 4 T-shirts) 2 additional family members may register for $20.00 each.
Family registrants will not be eligible for individual prizes but will be eligible for the family prize. Times of all family members will be added together to get the family time. A family consists of a minimum of 3 and a maximum of 6 runners who are of the same family. Children in strollers are not counted. Please complete a separate registration form for each participating family member.  

Individual Runner/walker $________
Under 13 Runner/walker $________                                                                                 Cash or Checks Payable to: 
Family Entry $________                                                                                                    RPK Memorial Foundation
Extra Family Members (max 2) $20 each $________                                                           PO Box 58034
Add $3 for each 2XL and $5 for each 3XL t-shirt requested $________                              Fayetteville, NC 28305
Extra T-shirts (YS through Adult XL $15 each : 2XL $18 and 3XL $20 each)  
S___M___L____XL___ 2XL_____  3 XL ____
YS ____ YM____ YL_____ 
Total for Extra T- shirts $_________  
Optional Tax Deductible donation $ _________                                                            Group Trophy to group with most members 
Total Amount enclosed $ _________                                                                             registered by December 14, 2018.
                                                                                                                                       Group Name ___________________________
Please make sure to sign waiver and release form.
Waiver—Must be signed to participate
I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly trained. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident, which may occur while I am traveling to or from the event, during the event, or while I am on the premises of the event. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters, Ryan Kishbaugh Memorial Foundation, City of Fayetteville, Cumberland County Hospital System, High Smith Rainey Medical Arts Building Association, EHM Finish Lines/Atlantic Coast Timing Services, The Child Advocacy Center, Inc., and each of their agents, representatives, successors and assigns, and all other persons associated with this event, for all liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise. I understand that bicycles, skateboards, roller skates or blades are not allowed in the race, and I will abide by these guidelines. I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, recordings or any other record of my participation in this event for any legitimate purpose.  
_______________________________________                                  ____________________________________________
Signature                                         Date                                             Signature of Parent or Guardian (if under 18) Date