LIABILITY WAIVER FOR THE FISHERS HIGH SCHOOL TIGER TROT 5K

1. RACE ROUTE 5K ROAD RACE SATURDAY FEBRUARY 26TH 2011 RACE BEGINS AT 9:00 AM LOCATION: FISHERS HIGH SCHOOL Register online at: www.getmeregistered.com In Snow, In Sleet, In Wind, We RUN for FUN! LIABILITY WAIVER FOR THE FISHERS HIGH SCHOOL TIGER TROT 5K ENTRY FORM: Make checks payable to: Fishers High School, and mail to: Fishers High School 13000 Promise Road Fishers, IN 46038 CIRCLE SHIRT SIZE: YOUTH SM. MED. LG. XLG. ADULT SM. MED. LG. XLG. NAME:__________________________________________BIRTHDATE_______PHONE___________________________ (TYPE OR PRINT CLEARLY) ADDRESS_______________________________________CITY________________________ZIP_____________ WAIVER: In consideration of the acceptance of this entry in said 5K race being held February 26th, 2011, at Fishers High School, Fishers, IN, we, the undersigned participant and (if any participant is under 18 years of age) parent or guardian, intending to be legally bound, do hereby for ourselves, our heirs, executors and administrators, waive, release and forever discharge any and all rights or claims for damages which we or either of us, may have or which hereafter accrue to us, or either of us, against any and all persons, organizations and legal entitles affiliated with such race and, more particularly, the officials of Hamilton Southeastern Schools, together with their representative officers, agents, representatives, employees, successors, assign and/ or sponsors, for any or all damages which may be sustained or suffered by us in connection with or entry in, and/or arising out of our traveling to, participating in and returning from said race even if said damages are caused by the negligence or gross negligence of Hamilton Southeastern Schools or its agent. I/we hereby agree to release to the race promoter full and exclusive rights to record my race performance in said race on film, videotape or still photography for use without compensation. I/we understand that this is an arduous athletic event and hereby certify that I/we are properly conditioned to participate. SIGNED________________________________________________DATE________________________ (PARTICIPANT) SIGNED________________________________________________DATE________________________ Parent or legal guardian if participant is 17yrs or younger (W) -----------------------CUT & RETURN ENTY-----------------------------------------------CUT &RETURN ENTRY-------------------------------- Thank you to all of the Tiger Trot sponsors SPONSORS Platinum USA Funds Harnett Zoning Services Gold Diamond Foods Hamilton Foot & Ankle Premier Sports Chiropractic Silver Theme Vision Who’s Your Plumber Jahns Family River Glen Country Club

2. The Fishers High School Girls Cross Country and Track & Field teams are proud to host the 2011 Fishers Tiger Trot. Thanks in part to tremendous support from our community, we qualified several teams and individuals to the state track meet in the past year, and recently went to semi-state in cross country. Our teams are devoted to both our community and the running world, and can’t think of a better way to bring those two worlds together. The 5K run/walk is open to any and all participants, and while the weather may be frigid we can assure you the welcome will be warm! Age Groups: 14 & under 40-44 15-19 45-49 20-24 50-54 25-29 55-59 30-34 MASTERS(60 & over) 35-39 WHEN: SATURDAY, February 26th Packet Pick-up from 7:00- 8:45 AM 5K race begins at 9:00 AM 1 Mile 12 & Under run begins at 10 AM Awards Ceremony at 10:30 AM WHERE: Fishers High School 13000 Promise Road Fishers, IN 46038 WHO: Registrants of all ages and ability levels are invited to participate COST: Price including T-shirt 5k registration prior to Feb. 21st - $20 Feb. 21st - 26th - $25 ($5 discount- no T-shirt) 1 Mile fun run prior to Feb. 21st - $10 Feb. 21st -26th - $15 **PACKET PICK-UP AND AWARDS WILL TAKE PLACE IN THE FISHERS HIGH SCHOOL CAFETERIA.** Registration forms may be returned to the Fishers High School Athletic Department. Cost to register includes race packet and professional chip timing. All Proceeds will be used to support the Fishers High School Girls Cross Country and Track & Field teams. FISHERS HIGHSCHOOL: Fishers High School is a school that collaboratively works with the community in an exceptional partnership to provide a school that is passionate about education. Through respect and powerful cooperation, our students are receptive to learning, our teachers are committed to the success of every student, and our parents are supportive of the educational process. Our school is devoted to academic excellence as we provide students with opportunities, choices and an awareness of the world around them. Our students engage themselves in the welfare of society and embrace a world abundant in diversity. Fishers High School is an IB World School and a proud member of the prestigious International Baccalaureate Organization. Register online at: www.getmeregistered.com FOR MORE INFORMATION CONTACT: Elizabeth Jahns Head Girls Cross Country Coach ejahns@hse.k12.in.us Andy Belloli Head Girls Track & Field Coach Assistant Girls Cross Country Coach abelloli@hse.k12.in.us