Sign up for The Rite Aid Waterville Wellness Run

The Rite Aid Waterville Wellness Run is approaching fast. Print off this page and fill out the form to register for the 5K. Registration forms can be turned in at Rite Aid in Waterville, 8239 Waterville-Swanton Rd. Waterville, OH 43566.

The Rite Aid Waterville Wellness Run

Event: 5k Run Fundraiser for Children’s Miracle Network

Where: Event will start and end at Rite Aid in Waterville

8239 Waterville – Swanton Rd Waterville, Oh 43566

When: 9 a.m. on Saturday May 5, 2018 (Registration starts at 8:15 a.m.)

Entry Fee:  If registered before April 27th entry fee will be $20.00 (includes t-shirt)

Race day registration fee will be $25.00 (t-shirt if quantities last)

Prizes will be awarded to top competitors and refreshments will be available following race. (Make checks payable to Rite Aid)

REGISTRATION INFORMATION  (Registration forms can be turned in at Rite Aid in Waterville)

Name: _______________________________________________ Age:__________

Address: ___________________________________________________________

Phone Number:_________________________ Email: _______________________

Adult T‐Shirt Size (circle one):    S M  L XL                                Registration form and entry fee due by April 27, 2018 for guarantee t-shirt!!

Release: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decisions of a race official relative to safety completing the run. I assume all risks associated in running in this event including, but not limited to falls, contact with other participants, the effects of weather, traffic, and the conditions of the running surface, all such risks being known and appreciated by me. Having read this waiver and knowing these facts in consideration of you accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the organizers and sponsors of this event, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

Signature (Parent, if under 18 years old):_______________________________ Date:_________

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