Rompin’ around at ChristmasVilleTM

This year Piedmont is revving up its Reindeer Romp to a 5K fun run/walk as part of ChristmasVille. Fun for the entire family, the Reindeer Romp begins and ends in Historic Downtown Rock Hill. You’ll pass local landmarks and enjoy holiday sites beginning at 9 a.m. on Saturday, Dec. 6. To join in the action, complete and return the reg- istration form below or register online at www.sportoften.com. Entry fee is only $15 per runner ($20 day of event) and includes a Reindeer Romp T-shirt.

Registration form Please copy and complete for each runner.   Name:_____________________________________________________________________

   Address:_______________________________________________________________  

Date of birth:___________________________________________________________  

E-mail:_________________________________________________________________  

 Phone:_________________________________________________________________  

T-shirt size:    ❍ Youth S M L XL (circle one)                      ❍ Adult S M L XL (circle one)  

Make checks payable to Piedmont Medical Center ($15 per runner, $20 day of event) and include with registration form. Send to:   Kim Brock Piedmont Medical Center 222 S. Herlong Ave. Rock Hill, SC 29732 803-329-6828.  

You may also register online at www.sportoften.com.  

 Packet pickup: Wednesday, Dec.3, from 8 a.m. to 8 p.m.; Friday, Dec. 5, from 8 a.m. to 8 p.m.; or until 8 a.m. day of event  

Please read and sign. In consideration of my entry, I, intending to be legally bound for myself and anyone entitled to act on my behalf, do hereby release and discharge Piedmont Medical Center, including but not limited to the City of Rock Hill, ChristmasVille, Winthrop University, volunteers, and any and all sponsors, contributors and organizers from any and all liability arising from any illness, injury or damages I may suffer as a result of my participation in the Reindeer Romp 5K events. I provide and certify my compliance by my signature below. If participant is under 18 years old, I certify by my signature that he or she has permission to participate, is in good physical condition, and that officials may authorize emergency medical treatment in the event of injury or illness. I understand that there is no refund due to me for any reason. This release and waiver extends to all claims of every kind whatsoever, foreseen or unforeseen, known or unknown.  

Must be signed to be valid.  

 Signature_ _______________________________________________Date___________  

Signature of parent or guardian if participant is under 18 ________________________________________________________Date___________