BUCK O’NEIL WALK/RUN Negro Leagues Baseball Museum Saturday, September 24, 2016 9:00 am www.FACEBOOK.com/BUCK2POINT2

Race through historic Kansas City, MO at the Buck O'Neil Walk/Run, presented by the Negro Leagues Baseball Museum (NLBM) in partnership with Patriot's Run Club. Support a great cause while traveling the same streets in the heart of the city where legendary musicians, social pioneers and star athletes roamed. Choose to participate in a 5K Run or a 2.2 mile (or 3K) walk, through the 18th & Vine historic district. The "2.2" mile distance honors the uniform number and memory of John "Buck" O'Neil (1911-2006), Negro Leagues baseball legend and former chairman of the museum.

REGISTRATION FEES:

5K RUN: $22.00 $30.00 after 09/12/16

The course route will pass historic and scenic landmarks such as Parade Park, 12th Street & Vine marker, Blues Stadium site, and the Paseo YMCA. The rolling urban terrain makes this race among the most challenging workouts in Kansas City.

2.2 Mile Walk: $15.00 $22.00 after 09/12/16 Group discounts available online

All participants receive a commemorative race shirt. 5K runners compete for best time medals in different age categories. The very best times for 5K runners (male & female) receive a special award as 2015 race champions.

Fill out the form and send it with your payment information to: Negro Leagues Baseball Museum 1616 East 18th Street Kansas City, MO 64108

EARLY BIRD REGISTRATION DISCOUNTS END SEPTEMBER 12, 2016. Don't miss discounted registration opportunities! Prices increase on September 13. Race day registration will be available.

Or call 816-221-1920 Buck O’Neil runs to third base as a Kansas City Monarch in the 1950s at Blues Stadium.

PLEASE PRINT (ONE PERSON REGISTRATION PER FORM) FIRST NAME: _________________________________ MIDDLE INITIAL: _____ LAST NAME: ___________________________________ YOUR AGE ON THE RACE DATE: _________ MALE _____ OR FEMALE _______

EVENT CHOICE: 5K____ 2.2 MILE WALK_____

STREET ADDRESS:__________________________________________________ CITY: _________________________________________ STATE:_______ POSTAL CODE____________________ EMAIL: __________________________________________________________ DAYTIME PHONE: _________________________________________ EVENING PHONE:_________________________________________

PAYMENT INFORMATION: NLBM accepts checks, money orders and all major credit cards. Checks can be made payable to the NLBM (with memo “WALK/RUN”).

CREDIT CARD INFORMATION (PLEASE PRINT) NAME ON CARD:____________________________________________________________ BILLING ADDRESS (if different from above):______________________________________ __________________________________________________________________________ CARD #:________________________________________

EXP:____________________

CARD TYPE:__________________ SECURITY #:_______________________________

What is your unisex shirt size? (circle one) SMALL

MEDIUM

LARGE

X-LARGE

2 XL

3 XL

Preferred shirt size can not be guaranteed with late registrations. Please copy your completed form before mailing to the NLBM. Bring your copy to the NLBM at package pick-up time.

Please see reverse of this form, read & sign mandatory race waiver.

www.NLBM.com · www.FACEBOOK.com/BUCK2POINT2 · www.Active.com

SATURDAY, SEPTEMBER 24, 2016

- Negro Leagues Baseball Museum

BUCK O’NEIL 2.2 MILE WALK & 5K RUN

BECOME AN URBAN LEGEND! MANDATORY RACE WAIVER: PLEASE READ AND SIGN BELOW — I understand that I am to avoid all risks and watch for and yield to vehicles. I am in condition to participate in this event and I assume all risks including, but not limited to, the hazards of slips and falls, motor vehicles, adverse weather, bad footing, dehydration, bad road conditions, debris on the path and all such risks being known and appreciated by me. I also agree to obey all markings on the course and directions of the volunteers, exercise all safety precautions, avoid littering and respect property of others. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else on my behalf, covenant not to sue, and release the Race Committee, all organizers, all cities and police departments with jurisdiction over the event, event volunteers, all beneficiaries, all sponsors including their agents, employees, assigns or anyone acting for or on my behalf of the above, from any and all liability for death, personal injury, property damage or loss of any kind or nature arising out of my participation in this event. This release and waiver extends to risks and claims of all kinds. Race director reserves the right to delay, cancel or shorten the race in the event of inclement weather. No refunds or exchanges, but your fee will be listed as a donation to the NLBM.

SIGNATURE

DATE

BUCK O'NEIL-RUN WALK REGISTRATION FORM-2016.pdf ...

Page 2 of 2. BUCK O'NEIL 2.2 MILE WALK & 5K RUN. SATURDAY, SEPTEMBER 24, 2016 - Negro Leagues Baseball Museum. www.NLBM.com · www.

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