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•Sunday 16 May 2010 • 5km & 10km Route • Meet and Finish at New

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•Sunday 16 May 2010 • 5km & 10km Route • Meet and Finish at New Powered By Docstoc
					              Sunday 16 May 2010, New Farm Park, Brisbane

The Red Run Classic is a fundraising run/walk for Haemophilia Foundation Australia
 and Haemophilia Foundation Queensland. Funds raised will provide programs and
services for the bleeding disorders community in Queensland and across the nation.
 Join hundreds of other women, men, teenagers, children and families to have fun while raising
    money for a good cause. If you are a serious competitor make the Red Run Classic one of
         your big events, or walk with your family and friends for a fun social morning.


                         • 5km & 10km Route the event was sold at before the day Brisbane turn people from
• Sunday 16 May 2010 encouraged as last year • Meet and FinishoutNew Farm Park,and we had•toRegistrationsaway) 6am
    (Pre-registration is
 • All entrants will receive a free commemorative RRC cap OR RRC drink bottle (while stocks last) • Race Starts 7.30am
Declaration (Must be signed by all entrants)
1. I have read the conditions of entry for this event and understand the demanding physical nature of the event. I have trained for this event and I am not
   aware of any medical condition or impairment that will be detrimental to my health if I participate in this event. In the event that I become aware of any
   medical condition or impairment, or am otherwise sick or injured prior to the event, I will withdraw from the event.
2. I acknowledge that participating in this event may involve a risk from various causes including; over exertion, dehydration, and accidents with other
   participants, spectators or road users.
3. I acknowledge that it is a condition of participating in this event that I do so at my own risk. I accept all risks and release the event organiser, its agents,
   affiliates, employees, members, sponsors, promoters, volunteers, and any person or body, directly or indirectly associated with the event, from all claims,
   demands and proceedings arising out of or connected with my participation in this event and I indemnify them against all liability for all injury, loss or
   damage arising out of or connected with my participation in this event. This release continues forever and binds my heirs, successors, executors, personal
   representatives and assignees.
4. The race organiser reserves the right to alter the course or cancel the event due to unforeseen circumstances such as adverse weather. No refunds are possible.
5. Use of image: I consent to the event organisers, Haemophilia Foundation Australia, using my name, image, likeness and also my performance in the event,
   at any time, to promote the success of the run by any form of media.
Signature of entrant(s) (or parent/guardian if under age of 18): ..............................................................................................................................................................................

Fundraising
The Red Run Classic is working with Everyday Hero to help raise funds. Ask your family, friends, colleagues and organisations to sponsor your run. We hope most
runners will choose to do this online. When you register for the run, you will receive information on how to set up your fundraising web page through Everyday Hero
and details of our other fundraising options. www.everydayhero.com.au

Registration Form Entries can be accepted online – go to www.haemophilia.org.au
Name............................................................................................... Address............................................................................................................................................................................
State................................... Postcode.......................................... Phone.................................................................... Email................................................................................................
Male  Female  5km  10km                                                   DOB ___/___/___                            I will collect my race kit on Saturday 15 May at the In Training Shop between 10am-2pm
Early entry is encouraged. Pre-event registrations close Thursday 13 May 4.30pm EST. Registrations after this date and on the day of the event will incur a $5 late fee. (If the event isn’t a sell out)
No. of Adults(over 18) @ $28ea: _____ No. of Children(aged 6-17) @ $10ea: _____ No. of Concession/Student @ $18ea: _____ No. of Families (2A & 2C) @ $66ea:_____
No. of Corporate Teams or Group of Adults (4 people) @ $100ea:_____ (Provide personal details for each member of the team together with this form)
No. of HFQ Members @ $18ea:_____ No. of HFQ Families (2A & 2C(aged 6-17)) @ $50: _____
Total $ ________ Which commemorative item do you prefer (while stocks last)  RRC Cap  RRC Water Bottle
Donation to Haemophilia Foundation $ ____________                                                     I would like to purchase a RRC Cap $10 x ____________ and/or RRC Water Bottle $10 x ____________

Total amount due $ ______
If you are registering more than 1 person, please fill out personal details for each person as per entry details above on a separate blank piece of paper or photocopy this form.
Method of payment - Please find my cheque enclosed made payable to Haemophilia Foundation Australia OR please debit my credit card

 Mastercard  Visa  Amex  Diners Card                                                    ————                     ————                     ————                     ————                         Expiry date: —— /——


Cardholder’s Name:.................................................................................................................... Signature:.......................................................................................................................
Please ensure your form is filled out correctly, all fields highlighted in blue need to be completed otherwise your registration cannot be accepted
Return entry form to:
Red Run Classic
c/o PO BOX 451, SPRING HILL QLD 4004
P: 1800 807 173 F: 03 9885 1800                                                                                    Print Sponsor                                                                                 Supporter
E: hfaust@haemophilia.org.au
W: www.haemophilia.org.au
All entry fees are non-refundable and non-transferable.
                                                                                                                                                                                                                                                                             Web

				
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