Presenting
Platinum
Gold
Silver
Bronze
Pink Ribbon Sponsor
R A C E S P O N S O R S H I P
Sunday, September 28, 2008
Downtown Toledo
Race Poster
Race T-Shirts (17,000)
Race Entry Forms (45,000)
Complimentary Race T-shirts
Complimentary Race Entries****
Recognition in Race Day program
Site for entry form pick-up if requested
Opportunity to provide product or coupon on Race Day**
Recognition in nal thank you ad
Recognition on Komen NW Ohio A liate website
Table on Race Day (manned by sponsor)
Promotional Race Day mention
Company-provided banner displayed on Race Day
Identi cation in Race media releases
Use of Race logo on advertising materials
Address audience on Race Day
Special recognition at Survivor Breakfast, September 13, 2008
Logo on Race bib
Donations below $2,500 will be recognized as a "Friend of the Race".
All contributions in-kind or any items for sale must be pre-approved by the Race steering committee.
* Please supply a logo by May 15, 2008 to racesponsors@komennwohio.org.
** With prior approval from the Race steering committee.
*** Prominent placement of logo on Race t-shirts.
**** Value of entry forms will be deducted from the total amount that is acknowledged as a corporate donation.
SUSAN G. KOMEN FOR THE CURE
NORTHWEST OHIO RACE FOR THE CURE
®
2008 SPONSORSHIP BENEFITS
Our Vision: A World Without Breast Cancer
AN EVENT OF THE NORTHWEST OHIO AFFILIATE OF SUSAN G. KOMEN FOR THE CURE
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$50,000
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September 28, 2008
Susan G. Komen Northwest Ohio Race for the Cure
®
Registration Form
One form per entrant. Copies are acceptable, or you can register online at
www.komennwohio.org.
For questions contact RaceRegistration@komennwohio.org.
LAST NAME
MIDDLE
INITIAL
I would like to be recognized as a breast cancer Survivor.
PLEASE DO NOT USE THIS FORM FOR TEAM REGISTRATIONS
FIRST NAME
ADDRESS
CITY
STATE
ZIP
EMAIL
(MAILING LIST)
BIRTHDATE
DAYTIME
PHONE
AGE as of
9/28/08
SEX: FEMALE
MALE
EVENT
5K
(Competitive, Timed)
FAMILY FUN WALK
T-SHIRT
YOUTH S (6-8)
YOUTH M (10-12)
YOUTH L (14-16)
SMALL
MEDIUM
LARGE
X-LARGE
XX-LARGE
WAIVER AND RELEASE OF CLAIMS
PHOTOGRAPHIC RELEASE
I understand that my consent to these provisions is given in consideration for
being permitted to participate in this Event. I further understand that I may be
removed from this competition if I do not follow all the rules of this Event. I am
a voluntary participant in this Event, and in good physical condition. I KNOW
THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I
HEREBY VOLUNTARILY ASSUME FULL AND COMPLETE RESPONSIBILITY
FOR, AND THE RISK OF, ANY INJURY OR ACCIDENT THAT MAY OCCUR
DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES
OF THIS EVENT. I, FOR MYSELF, MY NEXT OF KIN, MY MINOR CHILDREN
THAT ATTEND THE EVENT, MY HEIRS, ADMINISTRATORS, AND
EXECUTORS, HEREBY RELEASE AND HOLD HARMLESS AND COVENANT
NOT TO FILE SUIT AGAINST THE SUSAN G. KOMEN BREAST CANCER
FOUNDATION, INC. D/B/A SUSAN G. KOMEN FOR THE CURE, THE
Northwest Ohio AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER
FOUNDATION D/B/A THE Northwest Ohio AFFILIATE OF SUSAN G. KOMEN
FOR THE CURE, THEIR AFFILIATES AND ANY AFFILIATED INDIVIDUALS,
ENTRY FEES
All mail-in entries must be postmarked by September
9, 2008. To register after this date, please visit our
Race Week site or register online until midnight,
September 21, 2008.
Registration $30.00.................................$_______
(August 29-September 27)
5K Run/Walk & Family Fun Walk
includes mail-in, online, on-site pre-Race, Race Week
Additional contribution to the
Komen Northwest Ohio Race for the Cure
®
..............
$_______
Please mail this completed form and your check
made payable to:
Susan G. Komen Northwest Ohio Race for the Cure®
c/o: Hermes, 1624 St. Clair Avenue
Cleveland, Ohio 44114
XXX-LARGE
Early Bird Registration $25.00................$_______
(Postmarked or online by August 28)
5K Run/Walk & Family Fun Walk
includes mail-in, online, on-site pre-Race
Participant's Name
SIGNATURE
Date
5K
(Non-Timed, No Chip)
APT. #
I would like to volunteer for
Komen Northwest Ohio!
Name
Email
Daytime Phone
I give my full consent and permission to Susan G. Komen for the Cure, its local
affiliates and races (as defined below), their sponsors and corporate sponsors,
their successors, licensees, and assigns the irrevocable right to use, for any
purpose whatsoever and without compensation, any photographs, videotapes,
audiotapes, or other recordings of me that are made during the course of this
event (the "Event").
ANY EVENT SPONSORS AND THEIR AGENTS AND EMPLOYEES,
AND ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS
EVENT (COLLECTIVELY, THE "RELEASEES") FOR ANY INJURY
OR DAMAGES I MIGHT SUFFER IN CONNECTION WITH MY
PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES
OF THIS EVENT. THIS RELEASE APPLIES TO ANY AND ALL
LOSS, LIABILITY, OR CLAIMS I MAY HAVE ARISING OUT OF MY
PARTICIPATION IN THIS EVENT, INCLUDING BUT NOT LIMITED TO,
PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS,
WHETHER SUCH LOSSES, LIABILITIES, OR CLAIMS BE CAUSED
BY FALLS, CONTACT WITH AND/OR THE ACTIONS OF OTHER
PARTICIPANTS, CONTACT WITH FIXED OR NON-FIXED OBJECTS,
CONTACT WITH ANIMALS, CONDITIONS OF THE PREMISES OF
THE EVENT, NEGLIGENCE OF THE RELEASEES, RISKS NOT KNOWN
TO ME OR NOT REASONABLY FORESEEABLE AT THIS TIME, OR
OTHERWISE.
This Photographic Release and Waiver and Release of Claims (collectively, the
"Release") shall be construed under the laws of the state in which the Event is held.
I understand that I have given up substantial rights by signing this Release, and have
signed it freely and voluntarily without any inducement, assurance or guarantee being
made to me and intend my signature to be a complete and unconditional release of
liability to the greatest extent allowed by law.
Parent or Guardian's Signature if under 18
Kids Registration $20.00........................$_______
(14 & under, non-timed through Race Day)
Total Amount Enclosed...........................$_______
***Please DO NOT include your pledges in this total.***
Race Day Registrations $40.00..............$_______
5K Run/Walk, Family Fun Walk
Adults and Timed Kids
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Sponsorship and Registration Package
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Race for the Cure