The Transformation Center 5kFlight: Peer Run/Walk for Mental Wellness

Sunday September 27, 2015
Jamaica Pond Boathouse in Jamaica Plain, MA

9:30 AM - Registration/Packet Pickup
10:45 AM - Inspirational Speeches
11:00 AM - Race/Walk Start

Tickets to the 5kFlight are: $25 or what you can afford

Scholarships are available

We want you to join us!

however please don’t let cost keep you away!

Decide what you can afford and pay at the event registration table or please request a scholarship.

Question Title

* 1. Please enter your contact information (Name required - phone, email and city/town appreciated):

Name: *

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

Question Title

* 2. Would you like a Scholarship?

Yes

Other (please be specific - we will try to respond but may not be able depending on date and type of request)

Waiver Must Be Read and Signed Before Mailing:
I know that running is a potentially hazardous activity. I should not enter or run this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and cross country trail and traffic including foot traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release The Transformation Center and all sponsors, their representatives and successors from all claims of liabilities of any kind, including any claims arising out of negligence of the aforementioned parties, arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recording, or any other record of this event for any legitimate purpose.

Question Title

* 1. Please enter your contact information (Name required - phone, email and city/town appreciated):

Question Title

* 2. Would you like a Scholarship?

Question Title

* 3. Please provide your initials as an electronic signature confirming you have read the waiver above