Pre-Registration Form South Central Softball Team 5K Color Run/Walk November 1

South Central Softball Team
5K Color Run/Walk
November 1st, 2014 9:30 a.m. Farina Park, Farina IL
Pre-Registration Form
The South Central Softball Team is having a 5K Color Run/Walk to help raise funds to support their team.
 The 5K Color Run/Walk is untimed and will be held at the Farina Park and various streets in
Farina, IL. *For safety purposes we will run the same route twice to get the 5K ran.
 Participants will be splashed with different colors of non-toxic biodegradable food coloring and
cornstarch. If for some reason you are allergic to these, this run/walk is not for you.
 You may opt to wear glasses/goggles to cover eyes & a dust mask/bandana to cover mouth.
 Race will be held rain or shine. It may be delayed due to severe weather.
 Wear as much white as you can. Remember whatever you wear will be colored and may stain.
 You should shake off as much of the powder as you can before getting into your vehicle. You
may want to bring something to sit on in your vehicle for the ride home.
 It may take a few showers before your normal hair/skin color returns.
**Please bring a non-perishable food item on run day to be donated to our local Food Pantry. **
Contact Coach Gary Kapper at South Central High School (618-245-2222) if you have any questions.
Entry form is also available at - Click on the SCHS box.
If pre-registration entry fee is received by October 20th, you will be guaranteed a shirt.
Non-refundable Entry Fee: Ages 6 & under: Free, Ages 18 & under: $15.00, All others: $25.00
Make checks payable to: SCHS Softball
Mail to: South Central High School, 800 W. Washington, Farina IL 62838 Attn: 5K Color Run/Walk
Registration is from 8:30 a.m. until race time at 9:30 a.m. on November 1st
(Please print)
First Name_______________________ Last Name_________________________
City________________________ State______ Zip__________
Phone_______________________ Age_______
Shirt Sizes
(circle size)
Child: S(6-8) M(10-12) L(14-16)
I hereby absolve the South Central Softball Team 5K Color Run/Walk and any of its members,
helpers, or sponsors involved of all liability from any injury resulting from this event.
Participant Signature _____________________________________Date:_________
Signature of parent/guardian if participant is under 18