Official Entry Form

Official Entry Form: “Legs for Health and Literacy”

A charity fund-raising run/walk festival organized by SMSS Alumni and Friends 

Family Name: ____________________ First Name: ___________________ M. I. ___

St. Address: _______________________  Town/City:  _________________________

Province / State: ________________________  Zip Code:______________________

Sex [check one]: ___ Male ; ___Female

Date of Birth: _____ Age on race/walk day: ____

 I am participating in the [please select one]:
___ 8-km run for high school boys [14-17 yrs old]
___ 8-km run for high school girls [14-17 yrs old]
___ 8-km run open for college students and other [18 & older] alumni and friends
___ 8-km walk open for college students and other [18 & older] alumni and friends
___ 3-km walk for kids/elderly

My t-shirt size is [please check one] ___small; ___medium; ___large; ___ extra large

Attached is my registration fee in the amount of________________________ as per the category I belong to [check below]: 

You are entitled to one free raffle ticket for every sponsor or P400.00 [$10.00] worth of sponsorship you solicit. If you have solicited a sponsor or sponsors, please fill-in the table below [use extra sheet if needed]. If you have no sponsor, just go ahead and sign the entry form then submit together with your registration fee.

I understand that running and/or walking competitions could  be  hazardous to my health if I have not prepared for it or have some medical problems . I should participate in this event only if I have properly trained and have been cleared of any medical conditions which may inhibit my ability to complete any of the events. By signing this entry form, I waive any and all claims against any and all events organizers, sponsors, representatives and successors for any liabilities of any kind arising out of my participation in any of the events, even though liability may arise out of negligence or carelessness on the part of persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for legitimate reasons. I fully understand that all registration fees and sponsorship donations already paid to SMSSI are non-refundable. 

Signature: _______________________________ Date: _______________________

Please take note of the following:

1. Parents or Guardian will sign for a participant under 18 years of age.

2. For participants, sponsors or donors in the USA, you may make checks payable to “SMSS Alumni and Friends Foundation” then mail checks together with this form to: The Treasurer, SMSSAFF, 760 George St., Teaneck, NJ 07666.

3. For participants, sponsors or donors  in any country who finds it easier to remit directly to SMSS, please make checks
   payable to SMSSI, then mail check together with this entry form to: The SMSSI Treasurer, St. Mary’s School, Sagada Poblacion, Mountain Province, Philippines.

4. Registration fees and sponsorships/donations can also be paid in cash or checks during registration which starts March 28, 2008 at  SMSS.

You may download a more printer friendly format
by downloading the:

• Official Entry Form: for runners/walkers