Orange Bowl Trek for the Coast

5th Annual Sickle Cell Sprint

5K Run & Fitness Walk
Sunday, September 28, 2008 7:15 a.m.
Memorial Healthcare System presents the Sickle Cell 5k Sprint
Mail to: South Florida Striders, P.O. Box 822233 · South Florida, FL · 33082-2233
Make Checks Payable to Memorial Foundation-Sickle Cell
Last Name ________________________________________  First Name ________________________  Race Day Age ____  Male ___  Female ___

Mailing Address ______________________________________________________________________

City ________________________________________  State __________   Zip ___________________

Birthdate ______ /______ /______  Telephone (______) _____________________________________

Entry Fees            T-Shirt Size
Pre-Registered $25.00 Small ( )
Race Day Registration (All Participants)   $35.00 Medium ( )
  Large ( )
  X-Large ( )
In consideration of accepting this entry, I the undersigned, intending to be legally bound hereby, for myself, my heirs, executors, and administrator, waive and release any and all rights and claims for losses and damages I may have against Memorial Healthcare System, Broward County, Brian Piccolo Park, USA Track and field, race directors, their officers, directors, members and volunteers, any and all sponsors including other parties and their representatives successors, and assigns for any and all injuries suffered by me in said event.

I attest that I am physically fit and have sufficiently trained for the competition which I am voluntarily entering at my own risk.  My physical condition has been verified by a licensed medical doctor.  Further, I hereby grant full permission to any and all foregoing to use photographs, videotapes, motion pictures, recordings, or any other record of this event for any purpose whatsoever.

IF UNDER 18 YEARS OF AGE, SIGNATURES OF LEGAL GUARDIAN AND PARTICIPANT ARE REQUIRED.
 
Signature ______________________________________________   Date ________________________
 
Signature ______________________________________________   Date ________________________
 
Temperature/humidity can be high in South Florida. Participants should drink plenty of fluids (non-alcoholic) for 48 hours prior to, during and upon finishing the race. Beware of heat injury symptoms (dizziness, no sweating, nausea, cramps, redness, incoherent speech and thoughts). Seek immediate assistance if symptoms occur. Wear loose, light-colored clothing.