Run for Refugees

St. Alphonsus Parish

3rd Annual 5km Fun Run/Walk

Saturday, June 3rd2017

Route: Kildonan Park in-park route 510 Main St. Winnipeg

Meeting area & Breakfast Bar at North Shelters

Finish line at North Garden

Start line at South Shelter

Loop 2.5 times

Details: Race Bib pickup 8:00 am, Prayer 8:45 am, Run 9:00 am

Water station and First Aid available on site

All runners/walkers receive a race bib and a finisher’s medal

Adult runners & walkers (14 yrs +)$20.00

Youth runners & walkers (3-13 yrs)$15.00

Babes in strollers (no medals available)Free

Family pack (all family members living in one home)$50.00

Registration fees in support of our refugee committee efforts

Deadlines: Registrations by Tue, May 23rd, Sponsorships Mon, May 29th

Registrations & Sponsorship material may be dropped off at St. Alphonsus Parish Office 341 Munroe Ave (after-hours mail slot available)

Volunteers & Sponsorship Opportunities

Please email our run directors at or call 204-667-9580 ext. 3

Sponsorship: Choose your sponsorship level

Package AYour promotional material given to each racer with their race bib

Your promotional material at the sign-in table & water station

Thank you announcement in the parish bulletin

Cost: $55 + you provide your own promotional material

Package BAll of package A, plus your name on our official race day signage!

Cost: $110 + you provide your own promotional material. Please ensure your sponsorship request is in by Monday, May 29thto ensure enough time to send your name and or logo to our printers.

Sponsorship requests may be made via email . If choosing package B, please include your desired name or logo to appear on signage. You will be emailed an invoice, payment may be sent to St. Alphonsus Parish 341 Munroe Ave. (after-hours mail slot available)

Your sponsorship will help offset the cost of race bibs, signage, and participant medals. Thank you in advance for your generosity!

Volunteers:We need volunteers of all ages and abilities!

Water station attendees (sitting, pouring water)

Sign in table attendees (sitting, signing in, and handing out race materials and sponsorship promotional items)

Breakfast attendees (standing, setting up breakfast area and serving)

Take down crew (standing/ labor tearing down balloons, signage, tables etc.)

Certified first aiders (standing/walking)

Miscellaneous as needed (your flexibility and quick thinking skills are invaluable!)

Please contact the “Run for Refugees” race committee indicating your name and desired volunteer posting at

Run for RefugeesRegistration Form

St. Alphonsus Parish

3rd Annual 5km Fun Run/Walk

Saturday, June 3rd 2017

Please register by Tuesday, May 23rd 2017. Ways to register:

  1. Fill out this form and hand it in with payment to the parish office.
  2. Place in an envelope marked “Run for Refugees Registration” and use our after-hours mail slot located at the Munroe office entrance or place it in the collection basket at church.
  3. Hand in at St. Alphonsus school office.
  4. Scan and email

Late registrations will be accepted up to and on the event date, however as a late registrant you may not receive a finisher’s medal depending on number of registrants so please register early!

First Name: ______Last Name: ______

Phone: ______Email: ______

Registration Type, Please check one:

Adult runner/walker (14 yrs +) $20.00_____Youth runner/walker (3-13 yrs) $15.00_____

Family pack $50.00_____ Babes in strollers (no medals)Free

Please include names of participating family members: Family Name ______

First Name: ______First Name: ______

First Name: ______First Name: ______

Late Registration – Add $5 to your registration type or $10 for family registration.

Payment: please make cheques payable to St. Alphonsus Parish

Amount ______Cash _____ / Cheque _____ Chq. # ______

* Please sign waiver on the reverse side of this form *

RELEASE OF LIABILITY (Adult) Waiver:

In consideration of the acceptance of this entry I waive all claims for myself and my heirs against the sponsors,coordinating groups and any individuals associated with this event and will hold them harmless for any and all injuries which may result from my participation.

I hereby give my permission to the media to use my name and photograph on the parish and/or school websites and promotional materials for future race events without limitation or obligation.

I certify that I am physically fit for this event and understand the risks involved by participating in this event.

Participant Signature ______Date ______

For family registration, please provide signature of head of household

PARENT / GUARDIAN CONSENT FORM AND LIABILITY WAIVER

(Participants 0-17 yrs old)

Participant name: ______Birth Date: ______

Allergies ______

Please note, breakfast is not guaranteed to be allergen friendly. Please advise your child to take necessary precautions.

Parent/Guardian Name: ______

Home Phone: ______Emergency Phone: ______

I______grant permission for my child ______to participate in the Run to the Empty Tomb 5k Race/Fun Walk. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successorsand assigns, to hold harmless and defend the Run to the Empty Tomb coordinators and affiliate, its officers, directors and agents, or representatives associated with the event, arising from or in connection with my child attending the event. I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.

Parent/Guardian Signature: ______Date: ______