Beruflich Dokumente
Kultur Dokumente
School (If blank, donations will go to PACT Kaneohe Community Family Center)
Child’s last name, first name Grade Room T-shirt size Adult’s last name, first name Grade Room T-shirt size
Child’s last name, first name Grade Room T-shirt size Adult’s last name, first name Grade Room T-shirt size
Child’s last name, first name Grade Room T-shirt size Total # of entrants ____ @ $10 ea. = $ _______ TOTAL ENCL.
Please make checks payable to: Parents And Children Together
Proceeds will support literacy activities in schools.
Child’s last name, first name Grade Room T-shirt size
WAIVER & RELEASE I the undersigned, intending to be legally bound for myself and/or my child, my heirs, executors and administrators, hereby
waive and release any and all rights and claims for damages I and/or my child may have against PACT Kaneohe Community Family Center, Read To
Me International, Castle Medical Center, Nutrition & Physical Activity Coalition, Windward Community College, the State of Hawaii, the sponsors and
their Agents and Representatives, and verify that I and/or my child(ren) are physically fit and my and/or my children’s physical condition is good. I
additionally agree that the use of my and/or my child(ren)’s name and picture in broadcasts, telecasts, etc., arising out of participation in the Run and
Read 2009 shall be allowed without charge, and should this be done, it has my and/or my child(ren)’s full consent.