2011 CAPE 5K Hero Run/Walk

Child Abuse Prevention & Elimination
F 0 UNO A T ION~'

2011 CAPE 5K HERO RUN/WALK
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Saturday, October 22, 2011
Registration: 7:00 a.m.
Race Start: 8:00 a.m.
Location: Branson Airport Runway
4000 Airport Boulevard, Hollister, MO
Prizes for participants wearing capes & hero costumes' Awards for 5K overall male & female
• 1st and 2nd Place awarded in each age division' Prizes for all child participants
Age Groups: 13 and Under, 14-19,20-29,30-39,40-49,50-59,60+

To Register:
www.capefoundationinc.org
www.omrr.org
I] facebook.com/cape5K
Or E-Mail usatcape5K@gmail.com

Pre-Registration Ends 10-14-11
For additional intormation, please email at cape5K@gmail.com or call 417-334-5613 x226
Each year, hundreds of children in Southwest, Missouri are physically and sexually abused.
Many do not have access to resources like counseling, transpotlation and family support which
help begin the recovety process. The goal of CAPE Foundations is to bridge the gap between
abused children and counseling services. CAPE Foundation, Inc. is 501 (c) formed in 2010. All
gifts and contributions to CAPE are tax deductible.

Run To Be A Hero 5K run/walk is the first major fundraising event for CAPE. It will be held on
Saturday, October 22,2011 at the Branson Airport. Participants will run or walk the runway as
in superhero capes (if they choose) to raise funds and awareness for CAPE.
 2011 CAPE 5K Hero Run/Walk
To Benefit the CAP.E. Foundation
Run to Be a Hero!
Saturday, October 22,2011 • Race Start Time: 8:00 a.m.
Child Ahuse Prevention & Eliminatior
FOUNDATION? Registration: 7:00 a.m.
Branson Airport Runway

Run the faltelt, flattelt (oune in Millouri!
Prizes for participants wearing capes & hero costumes· Awards for 5K overall male & female
• 151 and 2nd Place awarded in each age division· Prizes for all child participants

Age Groups: 13 and Under, 14-19,20-29, PACKET PICK UP: FRIDAY, OCT. 21, 12:00 - 6:00 p.m.
30-39,40-49,50-59,60+ Springfield: Ridge Runner Sports
3057 S. Fremont, Springfield
Be ahero and run to help eliminate child PACKET PICK UP: FRIDAY, OCT. 21, 5:00 -7:00 p.m.
abme! Branson: Probation and Parole, 2720 Shepherd
of the Hills Expressway, Branson

I REGISTRATION FORM (Complete one form per person)
Name: I want to participate in CHIP timing: Y N
Address: ,City: State: _ Zip: _
E-Mail: Phone: _
Gender: M F Age on Race Day: _ DOB: - - - - - -
Shirt Size*: (Youth) 5 M L (Adult) 5 M L XL No, thank you *T-shirt guaranteed when you pre-register

Pre-Registration (ends 10-14-11) Adult $20 Youth $10 Family of Four (2 adults, 2 minors) $50

Day-of Registration Adult $25 Youth $15 Total Enclosed: _--,--_--,--,
Checks payable to: CAPE Foundation

Please mail all re istrations and a ments to CAPE Foundation PO Box 716 Fors h MO 65653

For more information, contact Fred Scharbrough (417) 334-5613 x226, e-mail cape5k@gmail.com or friend us on I] at Cape5K
I understand that participating in a race is a potentially hazardous actiVity. I will only enter and participate as I am medically able and properly trained. I
assume all risks from participating In this event and Its related activities Including, but not limited to; falls, contact with other participants, effects of
weather, traffic and conditions of the road; all such risks are known to me. I, for myself and anyone entitled to act on my behalf waive and release
CAPE Foundation! Branson Airport, race officials, volunteers! sponsors and their affiliates from all claims! liabilities or causes of action of any kind arising
out of my participation in this event or related activities. This release and waiver extends to all claims of every ktnd and nature. I grant permission to
use any photographs, videos or recordings of myself or my child on the website or In documentation of the event. Applications for minors will be
accepted only with a parenrs signature. All children under the age of 15 must be accompanied by an adult during the race. By signing below, I specify
that I am In acceptable physical and medical condition to participate in this event and agree to the above waiver.

Signature: Print Name: ~ Date: _