1. Waiver/Release
InconsiderationofbeingacceptedintheFamilyFunWalk/Run,Iformyself,andasauthorizedonbehalfofeachandeverymemberof
myteam,myheirs,myexecutors,administratorsandassignsdoherebyexpresslyreleaseanddischargetheHunterdonMedicalCenter,
HunterdonHealthandWellnessCenter,Radom&Wetter,theorganizersdirectors,sponsors,volunteers,itsofficers,agents,andemployees
fromanyandallclaims,demandsandactionsorjudgmentsofanykindarising,inwholeorinpart,outofparticipationinthisevent.Ialsogive
mypermissionfortheuseofmynameand/orpictureinanynewspaper,broadcast,telecastorotheraccountofthisevent.
Signature__________________________________________________________________Date____________________
ParentSignature(ifathleteisunderage18)_______________________________________ Date____________________
HunterdonHealth&WellnessCenters
ofClintonandWhitehouseStation
HunterdonRegionalCancerCenter
FoxChaseCancerCenterPartner
FAMILYFUNWALK/RUN
Saturday,May9,2015
TobenefitHunterdonRegionalBreastCancerProgram
FILLOUT&SENDINTOREGISTER
Startateam&becomeaTeamCaptain NametheTeam
Joinanexistingteam Team’sName
JoinasanIndividual T-shirtSizefor5K&2MileWalkersonly(circle)SmallMedLargeXL
Name PhoneNumber
StreetAddress
(City,State,Zip)
E-mailAddress Gender(circle)MFDateofBirth
5kRun  2MileWalk MadDash RegistrationFee$
 CreditCard(circleone)VISAMCAMEXDISCOVER
CardNumber Exp.Date Signature
Check(madepayableto“HHFoundation”)
DUKEISLANDPARK•OldYorkRoad,BridgewaterTownship
SomersetCounty(USATFCertifiedCourse)
SAMEDAYREGISTRATION&RACECHECK-INBEGINSAT8AM
5kRunbeginsat9am
2MileWalkbeginsat9:05am-PETSWELCOME!
MadDashforChildren(FREE)beginsat9:45am
FEE:$20Pre-registration/$25onRaceDay
Weencourageafundraisingminimumof$100perparticipant.
ToRegisterON-LINEorformoreinformationonFamilyFunWalk/Run
visitusonthewebathttp://familyfunrun.kintera.org
Questions?Pleasecall908-707-1500(Radom&Wetter)
908-735-6884(HunterdonHealth&WellnessatClinton)
908-534-7600(HunterdonHealth&WellnessatWhitehouse)
ExcitingRafflePrizes,50/50CashRaffle,&giveawaystoallparticipants!
T-SHIRTSTO5KRUN&2MILEWALKPARTICIPANTSONLY(whilesupplieslast)
SPONSOREDBY:
TOBENEFIT:
MailRegistrationto:HHFoundationEventsOffice•2100WescottDrive•FlemingtonNJ08822


2. RAFFLE
TICKET
RAFFLE PRIZES INCLUDE:
52” HD TV • Lunch Cruise • Kindle Fire
“Weekend in the Fall” Maine Trip
Hunterdon Health & Wellness Center
Full Year Membership (either location)
$200 ShopRite Gift Card • ipad
10 Massages from HHWC (either location)
Golf Foursome at Beaver Brook CC
ENTER OUR 50/50
FORTICKETSCALL
908.788.6421
ONLY$10EACH
Your full circle of care.
Hunterdon Healthcare
Hunterdon Healthcare Foundation
2100 Wescott Drive
Flemington, NJ 08822
Proudly
Sponsored by: Hunterdon Health & Wellness Centers
of Clinton and Whitehouse Station
FAMILY FUN WALK / RUN
Join us in the fight against
Breast Cancer. Join us for the...
Saturday - May 9th, 2015
5K Run - 2 mile walk
http://familyfunrun.kintera.org
Run to fight against Breast Cancer
Nonprofit Org.
US Postage
PAID
Flemington, NJ
Permit No.172