Help us Feed these Title-1 Kids
Date: Tuesday, December 4
Location: Playalinda Brewing Company
305 S. Washington St.
Titusville, FL 32796
Time: 5:30 PM
Registration Fee: $10
All proceeds benefit Project E.A.T. This program is sponsored by the North Brevard Coalition of Human Services to provide food to underserved families and seniors during the Holiday Season. In lieu of the registration fee, we welcome a new unwrapped toy which will be delivered along with the meals. Food and toys will be distributed by Hope for North Brevard, Inc., a non-profit 501(c)(3). Toys may be dropped off at the Playalinda Fun Runs on Oct 30, Nov 6 & 20 or at the Fun Run on Dec 4. Onsite registration will be available starting at 5PM day of event ;T-Shirts are limited so advanced registration is advised.
There will be no awards for this run but there will be FUN. The Fun Run will not be a chip timed event.
All participants will receive a t-shirt specifically designed for the event by a middle school or high school student.
Complete the following Entry Form and Make Checks Payable to:
Hope for North Brevard - Food & More
P.O. Box 2214, Titusville, FL 32781-2214
or Paypal
For additional information call: (321) 537-3526 or email: info@foodmore.org.
I can’t attend, but here’s my donation: $: __________
(Tax Exempt ID: 27-0352718)
NAME: _________________________
Email Address: ____________________________
Phone:
________________________
Shirt Size: _____ YXL _____ Small _____ Medium _____ Large ____ X Large
WAIVER: I know that participating in the Food & More Fun Run or Walk is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume all risks associated with running this event. Having read this waiver and knowing these facts and in consideration of
your accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive
and release the City of Titusville, Playalinda Brewing Company, Hope for North Brevard, Food & More, all event organizers, sponsors, and volunteers, their representatives and/or successors, for all claims or liabilities of any kind arising out of my participation in this event. I also give permission to use any photos taken of me in an appropriate manner.
Signature______________________
(Parent’s Signature If under 18)
Date _________________________
Your support and contributions will enable us to meet our goals and improve our children's quality of life.
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