| Race
for the Cure early entry form available
One out of every eight women living past the age of 85 will develop breast cancer. You can join in the fight against this disease by participating in the Susan G. Komen Breast Cancer Foundation Charleston, SC Race for the Cure on Saturday, Oct. 16. Early registration for the race is now available. Simply fill out the form below. Seventy-five percent of the Charleston races's proceeds fund breast cancer screening, education and awareness projects in the lower half of South Carolina. The remaining 25 percent helps fund the Komen Foundation's National Grant Program. Since its inception in 1994, the Charleston race has granted more than $320,000 to breast health programs in our state. This year, the American Cancer Society estimates that 2,600 women in South Carolina will be diagnosed with breast cancer. Six-hundred will die. The Komen Foundation, working through local chapters and Race for the Cure events in 99 cities, is fighting to eradicate breast cancer as a life-threatening disease by advancing research, education, screening and treatment. For more information, visit the race website at <http://hcc.musc.edu/race4cure>, or call the Race Hotline at (843) 792-9186. Race for a reason....Race for the Cure! Early Entry Form 1999 Charleston Komen Race For The Cure Saturday, Oct. 16 Old Museum Ruins in Cannon Park 8 a.m. Co-ed 1-Mile Fun Run/Walk 8:30 a.m. Co-ed 5K Run/Walk To enter, complete entry form below and return with check or money order to: Charleston Komen Race For The Cure P.O. Box 20637 Charleston, SC 29413-0637 No entry confirmation is sent. Keep copy of form for race details.
Age_______ Date of Birth____ ____ ____ Sex____ Expected Race Time____:____ T-shirt Size M L XL XXL* Adult size—Circle Above * $2 Extra Last Name__________________________________________________________ First Name__________________________________________________________ Street Address_____________________________________________________ ______________________________________________________________________ City_______________________________ State______ Zip Code___________________________ Day Phone_________________________________________ I am interested in becoming a volunteer_________ Please send me an invitation to the Survivor Luncheon_____ Please visit our website at http://hcc.musc.edu/race4cure Race Release (must be signed by participant) I understand that my consent to these provisions is given for being permitted to participate in this event. I am a voluntary participant in this event and in good physical condition. I hereby release and hold harmless The Susan G. Komen Breast Cancer Foundation, including its local affiliates and The Charleston Komen Race For The Cure and any affiliated individuals, or any race sponsors and their employees from any claims I may have arising out of my participants in this event, including personal injury. If I do not follow all the rules of this event, I understand that I may be removed from the competition. I give my permission to The Komen Foundation and its local affiliates and Races and their national sponsors to use any photographs, videotapes or other recordings of me that are made during the course of this event. Notice of drug testing. Participants in this competition may be subject to formal drug testing in accordance with USAT&F rules and IAAF Rule 144. Participants who refuse to be tested or who test positive for banned substances will be disqualified from this event and will be ineligible for future competitions. _____________________________________________________________ Signature of Runner or Walker or Guardian (if under 18) Date ENTRY FEES: 5K Entry Fee: ___ $15 by Oct. 1 ___ $20 after Oct. 1 1-Mile Run/Walk ____$10 by Oct. 1 ____ $15 after Oct. 1 Teams Information: Please call (843) 792-9186 $_____ Additional Donation (tax deductible) $______Total Enclosed ______ I want to particiapte in Friends For The Cure _______ I am a Breast Cancer Survivor |