IN RECOGNITION OF POLICE WEEK
THE HAWAIʻI POLICE DEPARTMENT
AND CRIME STOPPERS HAWAI‘I
PRESENT THE 1ST ANNUAL
5K RUN – 2 MILE WALK
SATURDAY – MAY 17, 2014
LILIʻUOKALANI GARDENS IN HILO
To honor the memory of those officers who gave the ultimate sacrifice
and to promote crime prevention through the use of Crime Stoppers.
An event for the whole family, including food, entertainment, informational and activity booths,
prizes, a water slide for the keiki, and much more.
Start Time:
8:30 AM – 5K Run or 2 Mile Walk
9:30 AM – Keiki Fun Run (Ages 6-14 years. Participants must complete Keiki FunRun registration form)
Check-In & Late Registration:
5K Run or 2 Mile Walk – 7:00 AM – 8:00 AM / Keiki Fun Run – 7:00 AM – 9:15 AM
Optional early check-in, shirt & number pick up and late registration, May 14-16, 2014, 1:00pm-3:00pm at the Hilo Police Station, 349 Kapiolani Street.
Entry Fee:
$25 – T-shirt will be provided with entry fee.
DEADLINE to submit registration is THURSDAY, May 1, 2014.
Entries received after the deadline cannot be guaranteed a t-shirt.
LATE ENTRY FEE – $30
Awards:
Male and female age group awards for runners.
Random prize drawings for all participants.
Proceeds from this event will go toward the establishment of a Crime Stoppers/Police Scholarship.
For more information, contact Lt. Darren Horio, Community Policing,
at 961-2350; dhorio@co.hawaii.hi.us,
or visit the Hawaiʻi Police Department’s website at
www.hawaiipolice.com.
REGISTRATION FORM
PLEASE RETURN THIS PORTION
CHECK ONE: _____ 5K Run _____ 2 Mile Walk
_________________ ____________________ M or F __________ _____ /_____/_____
LAST Name (print) FIRST Name (Print) Circle Age on race day Date of Birth
______________________________ ________________ ____ ____________ ________________
Street Address City State Zip Code Phone
Preferred Adult Shirt Size (Circle One): S M L XL 2XL 3XL
MAKE CHECKS PAYABLE TO “CRIME STOPPERS HAWAII”
Mail to: “RUN TO HONOR”, c/o Hawaiʻi Police Dept., 349 Kapiolani Street, Hilo, HI 96720
WAIVER MUST BE READ, AGREED AND SIGNED BELOW BEFORE REGISTRATION IS ACCEPTED:
I know that running a road race is a potentially hazardous activity. I should not enter or participate in this run/walk event unless I am medically able and properly trained. I assume all risks associated with participation in this event including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, traffic conditions on the course, and all such risks being known and appreciated by me. Having read this waiver, and knowing these facts and in consideration of your accepting entry, I, for myself and anyone entitled to act on my behalf, waive and release Crime Stoppers Hawaiʻi, the County of Hawaiʻi, State of Hawaiʻi and all associated sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. All fees are non-refundable.
__________________________________________________________ _________________________
Signature of participant, or if under 18, signature of parent or legal guardian Date
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
FOR EVENT PERSONNEL ONLY Payment Type: Cash_____ Check No: _________________ $___________
