Waiver: As an entrant in the Halloween Xplosion 5K, I assume complete responsibility for injury to me or damage to property which may occur during the event or while I am on the premises of the event. I hereby release the City of Topeka, KS, Xplosion Softball, volunteers, and all other persons or groups associated with the event from any and all liability associated with this event or otherwise. I understand there are no refunds. I give permission for any of the forgoing to use any photographs, video-recordings, or any other record of this event for any purpose whatsoever.
Signature
Date
Name
Address
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T-shirt Size: S M L XL XXL
Halloween Xplosion 5K
Shawnee Lake
Shelter House #1
(Off West Edge Road, near the girls softball diamonds)
Beautiful, lakeside course will be marked
Proceeds will benefit 14U Xplosion Softball
Registration:
? $25 pre-registered participants
? $30 for registration that day (t-shirt not guaranteed)
Date : 10/13/13
Time: 2:00 p.m.
Check-in time: 1:00 p.m.
Pre-register by 10/01/13
For more information or to register call:
Sara Chinn
785-220-3500
Email: [email protected]
Mail forms and entry fees to
1644 NW 49th Ct.
Topeka, KS 66618
Costumes encouraged!
Registration
includes a shirt. First place prizes will be awarded to the winners in each age group for males and
females.
11-20, 21-30, 31-40, 41-50, 51+