DJ Date: Time: Location: Fee (includes):

Course:

Howard C. Johnson Elementary School “RUN FOR FUN” - COLOR RUN REGISTRATION FORM

One Form Per Runner FARLEY'S

May 3, 2018 ICE CREAM TRUCK 4:30 p.m. Walk-in Registration 5:00 p.m. Race Start Howard C. Johnson Elementary School $15.00 – Register before April 20,2018 guaranteed to receive “Run for Fun” Color Run T-shirt and Sunglasses $20.00 Walk-in Registration Fun-run on school/Camp Joy area. 5 Color Stations. Times will NOT be recorded

WAWA PRIZE WHEEL

RAFFLES

Complete the form below. Cut at the dotted line and submit with cash or check payment. Keep the top portion. More information can be found on the back of form and at HCJPTO.org ….................................................................................................................................................................................. Name:

Teacher:

Email: (race bags will be sent home with child on May 1, 2018) Shirt Size* :

Child: YS YM YL Adult S M L XL XXL (add$2) *Race shirts can only be guaranteed if registration is received by April 20, 2018 Registration fee $15.00: Extra Color packets Amount enclosed

(at $3 each or 2 for $5.00)

THIS IS NOT A DROP OFF EVENT – CHILDREN MUST BE ACCOMPAINED BY ADULT Waiver: In consideration of your acceptance of this entry, I hereby for myself, my executors and administrators waive any and all rights and claims for damages I may have against Jackson Township Board of Education, its respective representatives and successors, and all sponsors, and will hold them harmless from any injury suffered in this event. Also, none of the above is responsible for the loss of neither personal items nor any other form of aggravation in connection with this event. I have been warned that I must be in good health to participate in this event.

X Date: Signature of Parent/Guardian Signature, if under 18 years of age

Safety is Johnson Schools top priority. This event is meant to bring the Jackson community together for an enjoyable, profitable, fun day out. Below is some information regarding the powder and the manufacturer. If you have any questions, please email Sue Abbonizio at [email protected] ● The colored cornstarch is made with the highest quality blending agents available in the US ● all materials are 100% FD&C grade ● all materials are FDA-Approved ● all materials are made in the USA ● No lead-based colorants are used ● Easy clean up – cornstarch will not stain skin, hair, clothing, etc. ● manufacturer received a 5-star Customer Rating You can look up more information about the product from the manufacturer website by visiting: http://wholesalecolorpowder.com/shop IT IS STRONGLY ADVISED THAT EACH PARTICIPANT BRING A TOWEL TO WIPE CLEAN WITH AND/OR SIT ON FOR THE CAR RIDE HOME IT IS STRONGLY ADVISED THAT EACH PARTICIPANT PROTECT THEIR ELECTRONIC DEVICES WHILE PARTICIPING IN THE RACE

COLOR RUN REGISTR2018_bubbles.pdf

X Date: Signature of Parent/Guardian Signature, if under 18 years of age. DJ. FARLEY'S. ICE CREAM TRUCK. WAWA PRIZE WHEEL. RAFFLES. Page 1 of 2 ...

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