Care For Cora Online Registration Form
 
Optional Printable Registration Form

The "Care for Cora Run" to honor two-year-old Cora Garola and provide financial support to aid her fight against Acute Lymphoblastic Leukemia will be held on Saturday, May 16, 2009 beginning at 8 a.m. at Savannah Christian Preparatory School on Chatham Parkway. Raindate: Sunday, May 17, 2009, 2 pm.

Events and Suggested Minimum Donations
8:30 a.m. 1/4 mile Kiddie Run (age 8 & under) Monetary donation of child’s choice
9:00 a.m. 4 x 400 Family Relay (4 team members, up to 2 adults, mix and match families if necessary) $50 minimum donation per team of 4
9:30 a.m. 5K Run/Walk $20 minimum donation per Runner/Walker or $10 donation per Paid Relay Participant

All event proceeds will be donated to The Cora Garola Medical Fund and Cure Childhood Cancer.

Race day registration available until 30 minutes before the start of each race and subject to space remaining in each event.

Relay teams limited to the first 20 teams entered in event.
5K Run/Walk limited to the first 300 entrants.
Snacks and drinks will be provided.

Participant Name Age Event
  1/4 Mile Kiddie Run & Walk
  4 x 400 Family Relay
  5K Run/Walk
  1/4 Mile Kiddie Run & Walk
  4 x 400 Family Relay
  5K Run/Walk
  1/4 Mile Kiddie Run & Walk
  4 x 400 Family Relay
  5K Run/Walk
  1/4 Mile Kiddie Run & Walk
  4 x 400 Family Relay
  5K Run/Walk

Address:
City,State,Zip:
E-mail address:
Phone number:
RELEASE AND WAIVER. UNSIGNED RELEASES WILL BE REJECTED

In consideration of being accepted as a participant in the “Care for Cora” run, I hereby, for my self, my heirs and executors, waive and release all claims for damages and injuries, against Stacie New, “Care for Cora,” Savannah Christian Preparatory School, and/or its officers, agents, representatives, successors, assigns, sponsors, coordinators or volunteers, which I may sustain or suffer during my participation in the “Care for Cora” run whether caused by the negligence of the releasees or otherwise. Further, if I should suffer injury or illness before, during or after “Care for Cora,” I authorize the coordinators of the Run to use the discretion to have me transported to a medical facility and I will take full responsibility for their actions. I attest and verify that I am physically fit and have sufficiently trained for this event. I grant permission for anyone associated with the “Care for Cora” run, or its volunteer organizations to use any photographs, videotapes, motion pictures, recordings or any other record of this event for this purpose whatsoever. I HAVE READ THE ABOVE RELEASE AND UNDERSTAND THAT I AM ENTERING THIS EVENT AT MY OWN RISK, AND I INTEND TO BE LEGALLY BOUND BY THISWRITING.
 

Signature:
   Parent/Guardian signature required if participant is under 18
Parent/Guardian:



Organizer and Race Director: Stacie New • Questions? E-mail stacienew@hotmail.com