ART HOUSE
Annual
Event

Art & Sole Registration

12th Annual Art & Sole benefit for the Neighborhood Art HouseDate & Times

5K Run / Walk: Saturday, June 8th, 9:00am
Registration: Saturday, June 8th, 7:45am - 8:45am
Early Packet Pickup: Friday, June 7th, 12:00pm - 6:00pm
1K Fun Run for Kids (ages 6-12): 10:00am

All events start and end at the Neighborhood Art House,
201 East 10th Street Erie, PA

Fees by 5/18/19

Adult / Youth:

$20

Child (12 & Under):

$10

Family:

$50

Fees after 5/18/19

Adult / Youth: $25
Child (12 & Under):

$12

Family:

$60

Individual and Family Registration

If you are registering your family and the total fees for children and adults would surpass $50 ($60 after 5/18/2019), choose the Family Registration payment option which allows you to register all your family members at a reduced family price.

separate registration form is needed for each participant/team member unless a family package is used. In that case, the main family member registering should fill out the following information and include additional family members below. Please put each family member name in a new box (maximum of 8 additional family members living in one household may be registered). Otherwise, if you are registering more than one participant but do not want the family package, complete and submit a form for each participant.

Downloadable Mail-in Form

Registrant Type

  Adult / Youth      $20
  Child      $10
  Family      $50

Register

  


If you do not choose a size you will not receive a shirt.
  

Additional Family Members


If no team, leave blank



If no team, leave blank



If no team, leave blank



If no team, leave blank



If no team, leave blank



If no team, leave blank



If no team, leave blank



If no team, leave blank


Waiver

Waiver & Release: In consideration of the acceptance of this entry, I do hereby, for myself, my heirs, executors and administrators waive and release and discharge the organizers, sponsors, the Inner-City Neighborhood Art House and any and all employees, successors, volunteers, service organizations, affiliates and assignees connected with the operation and running of this event from all claims or liabilities of any kind arising now and in the future from my participation in this event.

I am aware that, because of insurance limitations, no bicycles, skateboards, roller skates or blade, etc., will be permitted on the course. I know that competing in a road race is potentially dangerous. I certify that I have trained sufficiently for this event. I assume all risks associated with this event. I further agree that I may be photographed or videotaped and that these images may be used for promotional purposes by the Neighborhood Art House.
  

Parent/guardian must sign if entrant is under age 18.