5K Super Hero Walk/Run

5K Walk/Run Registration

Every day we encounter super heroes in our classrooms. We see teachers encouraging students, we see staff reaching new heights, and most importantly, we see students discovering, achieving, and inspiring us all. The Great Super Hero Race celebrates all St. Paul Lutheran School has to offer. Please join us in helping the St. Paul Lutheran PTL raise money for curriculum, athletics, technology, and many other items needed throughout the school year. When - Friday, October 13th 6:00 PM...... Where - Bartlett Park....... Cost - Registration Fee ($30) Ages 3-5 ($15), Family Pack ($100). Registration on Day of Event ($35.00, $20.00-Ages 3-5) (Family Pack includes: 4 t-shirts and registration for a whole family living in the same household - only available through pre-order). ........ All participants registered by September 29th are guaranteed a race t-shirt........ Race Day Schedule:" 5:15 - Packet Pick-up and Late Registration Begin....5:45 - Prayer, Group Picture...6:00 - Fun Run and then 5K begin... 7:00 - Silent Auction, Raffle, and Fun.................PAYMENT (To make your payment please go to the "Make a Payment" tab on ( http://splcc.org/school/ ) school page. This should open a new window and then fill out the information in the "School" portion using the "other" option. In the box next to "other" please type in "5K Race".) Thank you..............If you have any questions you may contact the school.
  • Release & Waiver of Liability for Adults I, the undersigned, will be participating in the St. Paul School’s 5K Walk/Run (hereafter the “activity”) at Hyde Park on or about October 8th, 2016. I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm, damage, or death in connection with my participation in this activity. I understand and agree that neither St. Paul Lutheran Church of St. Joseph, Missouri, nor its trustees, officers, directors, employees, agents or representatives, may be held liable in any way for any injury, harm damage, or death, which may occur while I am participating in the activity. To the fullest extent permitted by law, I agree to save and hold harmless St. Paul Lutheran Church of St. Joseph, Missouri, its trustees, officers, directors, employees, agents and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons or damage, to person or property, arising out of my participation in the activity. I authorize St. Paul Lutheran Church of St. Joseph, Missouri, through its trustees, officers, directors, employees, agents or representatives, to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in this activity. I understand and acknowledge that St. Paul Lutheran Church of St. Joseph, Missouri does not provide health or medical insurance in connection with the activity and I agree that I solely will be financially responsible for any expenses incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my participation in the activity. “Type name in Box below for signature” Minor Participation Authorization & Consent to Emergency Medical Treatment I, the undersigned, certify that I am the parent or legal guardian of “type name in box below” (hereafter the “minor child”). I hereby give my consent to have my child participate in the following activity of St. Paul Lutheran School 5K Walk/Run (hereafter the “activity”) on or about October 8, 2016. I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm damage, or death to my minor child in connection with his/her participation in this activity. To the fullest extent permitted by law, I release St. Paul Lutheran Church of St. Joseph, MO, its trustees, officers, directors, employees, agents and representatives from any claim, demand, action or suit for any injury, harm, damage, or death which may occur to my minor child while participating in the activity and agree to save and hold harmless St. Paul Lutheran Church of St. Joseph Missouri, its trustees, officers, directors, employees, agents and representatives from any claim, demand, action or suit of whatever kind or nature, either directly or indirectly, for injuries or damage to person or property, arising out of my minor child’s participation in the activity. Further, being the parent or legal guardian of the minor child, I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child. I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child. As parent or legal guardian, I understand that I am responsible for payment of health care for my minor child and agree that my insurance plan is the primary plan to pay for the medical, dental, or hospital care of treatment that is given to my minor child. To the extent any insurance policy of the church or organization sponsoring this event provides coverage, it would be as the secondary coverage. “Type name in box below for signature”
  • If a parent/guardian is signing the waiver release form for a child. Here is where that child's name should be placed.
  • Just have to type in your First and Last name.
  • Here we just need the date this form was filled out.

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