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Saturday, July 16, 2016 • Belle Isle Park, Detroit, MI 5K & 10K - 8:30 AM • 10 AM Kid’s Fun Run One Woodward Avenue, Suite 2400, Detroit, MI 48226-05485 I have read and I accept the terms of the waiver on this page _________________________________________________________________________________Date___________ Parent or Guardian signature if under 18 _________________________________________________________________________________Date___________ Enter online at www.escapetobelleisle.com or use this form: Please check! 5K 10K Kid’s Fun Run Male Female Age ____________ T-Shirt Size: S M L XL XXL Youth: S M L First _________________________________________________________________Last _______________________________________________________________ Address ___________________________________________________________________ City/ST/Zip ____________________________________________________ Email ____________________________________________________________ Phone _________________________________________________________________ 5K/10K $35 Kid’s Fun Run $25 (race day registration permitted) Total Amount Enclosed $__________________Credit Card____________________________________________________________________________Exp_________ or send check to: Kitch, One Woodward Avenue, Suite 2400, Detroit, MI 48226, Attn: Jenna Greenman. Make Checks payable to “Running Fit”. Donation $____________ Please make checks payable to “Ronald McDonald House of Detroit”. Waiver and Release of Liability I know Escape to Belle Isle is a potentially hazardous activity. The dangers inherent to racing include but are not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, lightning, and loose trails, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your acceptance of my entry, I, for myself and anyone entitled to act on my behalf waive and release all volunteers and sponsors, The State of Michigan, Belle Isle Park, Running Fit, Kitch Firm and its employees from all claims of liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Escape to Belle Isle: The Spirit of Detroit Challenge Eighth Annual Event Shirt and Number pick up: Race Day, Saturday, July 16 @ 7-8 AM at the Belle Isle Casino next to Race Start Parking on Belle Isle at Casino next to Race Start. Dry-Fit T-Shirts and medals to all • Money awards for top female and male in 5k and 10k run • Kids Fun Run: T-Shirts and trophies to all finishers! T H E T H U R S W E L L L A W F I R M P. L. L. C. 2016 Please contact Race Director Jenna Greenman at 810.333.1740 or email [email protected] Proceeds to benefit the Ronald McDonald House of Detroit Kitch Attorneys & Counselors Saturday, July 16, 2016 For more information or to register or donate, visit www.escapetobelleisle.com Races begin at 8:30 a.m., Kids’ Fun Run follows at 10:00 a.m. Course starts and finishes at the Belle Isle Casino New flag-marked miles and improved Course Support and Water Stations New dry fit/ tech shirts — guaranteed to those registered by 7/13/16 Proceeds to Ronald McDonald House of Detroit Kitch Attorneys & Counselors

Saturday, July 16, 2016 · Waiver and Release of Liability I know Escape to Belle Isle is a potentially hazardous activity. The dangers inherent to racing include but are The dangers

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Page 1: Saturday, July 16, 2016 · Waiver and Release of Liability I know Escape to Belle Isle is a potentially hazardous activity. The dangers inherent to racing include but are The dangers

Saturday, July 16, 2016 • Belle Isle Park, Detroit, MI5K & 10K - 8:30 AM • 10 AM Kid’s Fun Run

One Woodward Avenue, Suite 2400, Detroit, MI 48226-05485

I have read and I accept the terms of the waiver on this page

_________________________________________________________________________________Date___________

Parent or Guardian signature if under 18

_________________________________________________________________________________Date___________

Enter online at www.escapetobelleisle.com or use this form: Please check! 5K 10K Kid’s Fun Run Male Female Age ____________ T-Shirt Size: S M L XL XXL Youth: S M L First _________________________________________________________________Last _______________________________________________________________Address ___________________________________________________________________ City/ST/Zip __ __________________________________________________Email ____________________________________________________________ Phone _________________________________________________________________ 5K/10K $35 Kid’s Fun Run $25 (race day registration permitted)Total Amount Enclosed $__________________Credit Card____________________________________________________________________________Exp_________or send check to: Kitch, One Woodward Avenue, Suite 2400, Detroit, MI 48226, Attn: Jenna Greenman. Make Checks payable to “Running Fit”.

Donation $____________ Please make checks payable to “Ronald McDonald House of Detroit”.

Waiver and Release of Liability I know Escape to Belle Isle is a potentially hazardous activity. The dangers inherent to racing include but are not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, lightning, and loose trails, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your acceptance of my entry, I, for myself and anyone entitled to act on my behalf waive and release all volunteers and sponsors, The State of Michigan, Belle Isle Park, Running Fit, Kitch Firm and its employees from all claims of liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

Escape to Belle Isle: The Spirit of Detroit Challenge Eighth Annual Event

Shirt and Number pick up: Race Day, Saturday, July 16 @ 7-8 AM at the Belle Isle Casino next to Race Start

Parking on Belle Isle at Casino next to Race Start. Dry-Fit T-Shirts and medals to all • Money awards for top female and male in 5k and 10k run • Kids Fun Run: T-Shirts and trophies to all �nishers!

T H ET H U R S W E L L

L A W F I R MP. L. L. C.

2016

Please contact Race Director Jenna Greenman at 810.333.1740or email [email protected]

Proceeds to benefit the Ronald McDonald House of Detroit

KitchAttorneys & Counselors

Saturday, July 16, 2016For more information or to register or donate, visit

www.escapetobelleisle.com

Races begin at8:30 a.m., Kids’Fun Run followsat 10:00 a.m.

Course startsand finishes atthe Belle IsleCasino

New flag-markedmiles and improvedCourse Support andWater Stations

New dry fit/tech shirts —guaranteed tothose registered by 7/13/16

Proceeds toRonald McDonaldHouse of Detroit

•••••

KitchAttorneys & Counselors