Participant Registration Form Event Date:Sat, Oct 21, 2017

Time:Check-In Begins at 8AM

Ankle Biters ½ Mile Course Begins at 9:00AM

Creepy Crawlers 5K Course Begins at 9:30 AM

Location:South Orangetown Middle School

Participants Receive:Race Entry, T-Shirt, Water, and Snack

Hosted by SOMS PTA For the latest info check out: or our Facebook Page!

Our goal is to raise funds to provide and support assemblies, activities and events for students at SOMS.

Ever compete in a race with obstacles? Ever compete in a race with living…errr…dead obstacles? As a participant you will run/walk through a Zombie infested ½ mile (Ankle-Biters) or 5K (Creepy-Crawlers) course. Participants wear a belt with 3 flags (think flag football) which represent your life. Complete the course with any or all of the flags and you’re a survivor - among the elite! But it won't be easy! The Zombies are hungry and will be wandering the course trying to take your flags and infect you! If all of your flags are taken, you have become infected. But don’t worry, if you can make it to the Safe Zones located along the route – they may just give you that chance to survive.

ALL PARTICIPANTS MUST PRE-REGISTER BY OCTOBER 14TH!!!

To register, complete and return the form below with a check made out to South Orangetown Middle School PTA.

Return to the main office of your school in an envelope labeled “Zombie Run Registration”

No Refunds. Event will be held rain or shine.

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“SOCSD Zombie Run for Fun” Participant Registration Form

Name: ______

Grade and Homeroom/Teacher: ______

Email: ______

Phone: ______

(If under 18) Parent/Guardian Name: ______

Signature: ______

T-Shirt Size: Y Med ____ Y Large ____ AdXSmall ____ Ad Small ____ Ad Med ____ Ad Large ____ Ad XLarge ____

Choose Course:

Ankle-Biters ½ Mile Course -$25.00 per participant Check _____ Cash ______PayPal Invoice _____

Creepy-Crawlers 5K Course - $30.00 per participant Check _____ Cash ______PayPal Invoice _____

*Waiver of Liability: By signature above, I acknowledge that there are inherent risks and dangers associated with participating in the “SOCSD Zombie Run for Fun!” and therefore, I hold the event, SOMS PTA and SOCSD, and its agents harmless from all claims for injuries, damage or loss which may result from me or my child(ren) participating on behalf of the “SOCSD Zombie Run for Fun!”

**By signature above: I grant full permission for event organizers to use in promotional materials presented in any medium, my name, likeness, image, voice, photographs, videotapes or quotations. This permission is perpetual and worldwide.