Pioneer PTA 5K & Fun Run 2024

A Pioneer PTA Fundraiser to support PTA programs.

Sunday, October 6th, 2024

Ingersoll Stadium @ Olympia High School

1302 North St SE, Olympia, WA 98501

Please note - all children need a chaperone; no pets or bikes on track at the event.

The Pioneer PTA is 501(c)3 charitable organization. The portion of your ticket above the cost of bowling is tax deductible under limits allowed by law. A receipt will be sent to you automatically with registration. Donation value for tax purposes: $23 for 5K registration,

Questions? Contact fundraising@pioneerpta.com

Item Description Price QTY

Registration for 5K race $30.00 # of registrants:

#1	Participant Name Participant Age (for prizes) Participant Gender	copy
#2	Participant Name Participant Age (for prizes) Participant Gender
#3	Participant Name Participant Age (for prizes) Participant Gender
#4	Participant Name Participant Age (for prizes) Participant Gender
#5	Participant Name Participant Age (for prizes) Participant Gender
#6	Participant Name Participant Age (for prizes) Participant Gender
#7	Participant Name Participant Age (for prizes) Participant Gender
#8	Participant Name Participant Age (for prizes) Participant Gender
#9	Participant Name Participant Age (for prizes) Participant Gender

Select t-shirt size (1 included with each 5K registration only) $0.00 Size: Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL

Registration for Kids' Fun Run (400-800 meters) $0.00 # of registrants:

#1	Fun Run Participant Name	copy
#2	Fun Run Participant Name
#3	Fun Run Participant Name
#4	Fun Run Participant Name
#5	Fun Run Participant Name
#6	Fun Run Participant Name
#7	Fun Run Participant Name
#8	Fun Run Participant Name
#9	Fun Run Participant Name

Purchase of additional t-shirt beyond 5K registration $15.00 Size: Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL

General Fund
This donation goes directly to the Pioneer PTA general fund and will support 20+ programs and activities. $

Acknowledgement of Risk and Waiver of Liability

PLEASE REVIEW:

By checking this box, I attest that I have reviewed the Acknowledgement of Risk and Waiver of Liability linked here for the Pioneer PTA 5K and Fun Run Event.

Participant Name(s):

Please type the full names for all participants registering for either the 5K or Fun Run event

Waiver Review Date:

Please type today's date when you have reviewed the above Acknowledgement of Risk and Waiver of Liability.

Parent or Guardian Name:

Please type the name of the parent or guardian completing this registration and review of the PARENT OR GUARDIAN’S AUTHORIZATION FOR MEDICAL CARE AND CONSENT AGREEMENT for any minors (under age 18) participating in the event.

Emergency Contact

Please provide the full name and phone number of someone we can contact in the event of an emergency during the event

By proceeding with registration for the Pioneer PTA Fun Run event on October 6th, 2024, I understand that I am responsible for supervising any children that attend as part of this registration.

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