Brandon’s Run, 5k run/Walk



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Brandon’s Run, 5K Run/Walk

June 27, 2015 @ 9:00 AM (rain date July 11th) @ the Lake-Lehman High School Campus Old 115 (Lehman Twp.) Dallas Pa. 18612 (1/4 mile from Penn State Wilkes-Barre/Lehman). THERE will be a new or next to new Clothing drive and a SPORTS equipment collection that day, donate for any sport basketball, soccer, baseball, football and so on! NEW or next to new please.

Runners/walkers are needed for a GREAT cause. Children who end up in foster care through no fault of their own due to abuse, neglect or abandonment need you! Please help us make a difference in the lives of kids in foster care. Please help make my senior project successful for these great kids. Music/D.J., drinks, food and booths, a GREAT family event!

Monies raised will go to Brandon's Forever Home, a 501c3 charitable organization which helps with the needs of Kids in the Children and Youth system in our area. 100% of all monies raise goes to the children; this is an all-volunteer non-profit. All donations are tax deductible! Questions joeychaga97@gmail.com One registration form is required per participant.

I plan to: _____Run ____Walk Date of Birth (Month and Year) ____/________ Gender________

Last Name ______________________________First Name______________________

Address________________________________________________________________ City_______________________________

State_____________Zip___________Phone__________________________________Email___________________________

T-Shirts will be provided to all pre-registered runners. Those registering on race day will receive shirts on a first-come first-served basis. Available sizes are: YOUTH: S M L ADULT: S M L XL XXL (Circle One)

5K run/walk: ____Adult Pre-registration until 06/10/15 $20.00 with T-shirt

____Adult Registration Race Day $25.00 (T-shirts on a first come first serve basis until they are gone)

____Youth 17 & Under Pre-registration until 06/10/15 $15.00 with T-shirt

____Youth 17 & Under registration race day $20.00 T-shirt, first come first serve basis

____Kids (10 & Under) free or $7.00 if you want a T-shirt by 06/10/15 registration

_____ Optional: my Personal Donation to Brandon’s Forever Home ________

Enclosed is my check for $____________ payable to: Brandon’s Forever Home

Waiver: I hereby declare, assert and affirm that participation in the 5K Run/Walk, Brandon’s Run is done having voluntarily and knowing assumed ALL RISKS involved in this Special Event. The immediate physical risks and hazards associated with normal, vigorous physical activity include (but are not limited to) physical discomfort, fatigue, muscular soreness, falls, pulled or strained muscles, overuse injuries, heat stress, and the rare instance of abnormal responses of the cardio-respiratory system including heart arrhythmia, heart attack, stroke, and sudden death. In consideration of acceptance of this contract allowing my participation in the above stated Special Event and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages or losses that I may incur against all participating agencies involved in the above stated Special Event, specifically Lake-Lehman School District, Lehman Township, Brandon’s Forever Home and their associates and /or volunteers, Administration, their respective employees, agents, representatives, successors and assigns, for any and all activities connected with the above Special Event. I also understand that I do hereby WAIVE any and all rights or benefits under the State Worker's Compensation laws for any injury incurred as a result of my participation in this event, including disregard of the posted route. I also understand photos of the event and photos of people on campus during will be used in connection with our event with the public and media.

Print Name______________________________________ Date _____________________

*Signature_________________________________ Adult Signature: __________________________*Parent/Legal Guardian must sign if under 18

Send your completed form to: Lehman Twp. Bldg. PO Box 262 Lehman Pa 18627. Post marked by 06/10/15 for t-shirt. Do not send later than 06/20/15, otherwise register at event in the morning. THANK YOU! joeychaga97@gmail.com

June 27, 2015

(Rain date July 11th)

Lake-Lehman High School Lake-Lehman High School Campus Old 115 (Lehman Twp.) Dallas Pa. 18612 (1/4 mile from Penn State Wilkes-Barre/Lehman).

@ 9:00 AM - Noon

Children who end up in foster care through no fault of their own due to abuse, neglect or abandonment need you! Please help us make a difference in the lives of kids in foster care. Please help make two senior projects successful for these great kids.



Music/D.J., drinks, food and booths, a GREAT family event!

Monies raised will go to Brandon's Forever Home, a 501c3 charitable organization which helps with the needs of Kids in the Children and Youth system in our area. 100% of all monies raise goes to the children; this is an all-volunteer non-profit. All donations are tax deductible!



Brandon’s Run, 5K Run/Walkc:\users\mdeangelis\appdata\local\microsoft\windows\temporary internet files\content.ie5\08sw3sgr\334hnva[1].png

Runners/walkers are needed for a GREAT cause. T-Shirts will be provided to all pre-registered runners post mark by 06/10/15. Those registering on race day will receive shirts on a first-come first-served basis. Forms for the Race and Sponsors can be found at www.lehmanpa.com click on the Events tab or pick up your forms at Lehman Twp. bldg. on Old 115 or at Cooks general store on Mountain View Dr. & S.R. 118. Like us on Facebook: Brandon’s Run, 5k Run / Walk & sports Equipment collection. SPONSORS NEEDED!



New & Gently used SPORTS Equipment collection! c:\users\mdeangelis\appdata\local\microsoft\windows\temporary internet files\content.ie5\08sw3sgr\all_sports[1].gif

Sports equipment needed. Please consider donating NEW or GENTLY used sports equipment. All kids love to play and with your generous donation the Kids in Care will have Footballs, Soccer balls, Basketballs and so on. Look for our collection Booth at the Run!



NEW or Next to New Clothing Drive c:\users\mdeangelis\appdata\local\microsoft\windows\temporary internet files\content.ie5\1qgc4ur4\clothes[1].jpg

Girl Scout troop 33603 will be collecting new or next to new clothing, ALL sizes. Dress clothes, Purses, belts and shoes too! PLEACE only bring something NEXT to NEW or NEW, our kids deserve the best! Sizes infant to XXL Adult. Children come in all sizes. All donations are greatly appreciated by these beautiful Kids! Come out and enjoy a great morning with the family!



Look for our collection Booth at the Run.


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