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The 4th Annual 5K Beach H.O.P.E. Run/Walk

for ALS Research

ALS, or Amyotrophic Lateral Sclerosis is a neuromuscular disorder that affects motor neurons or large nerve cells and their axons that reach from the brain to the spinal cord and muscles throughout the body.  Lou Gehrig, the famous baseball player, was diagnosed with ALS, which is commonly referred to as “Lou Gehrig’s Disease.”  As the disease progresses voluntary muscle movements are affected, with total paralysis occurring in the later stages; however, the person’s mind and ability to think remains unaffected.  For more information about ALS please contact Project ALS at www.projectals.org or by phone at 1-800-603-0270. All proceeds from the 5K Beach H.O.P.E. Run/Walk will be donated to Project ALS to advance research for this progressive disease.  Proceeds will be donated in honor of Paul Litman from Greenville, SC and Laura Williams from Folly Beach, SC.

Race Information

When:  Saturday, June 5, 2004

Where:             Isle of Palms, SC

Registration and Race Starting at Seaside Inn on Ocean Blvd.; Post-Race Party and Dinner at Front Beach Bar and Grill                

Time:                7:00 PM

Entry Fee: Before May 25, 2004  - $15.00 with T-shirt     $10.00 without T-shirt

                  After May 25, 2004    - $20.00 with T-shirt   $15.00 without T-shirt

Make checks payable to – PT Class of 2005

Mail Registration to:       Sara Romansky

                                    2235 Ashley Crossing Dr. Apt. 5I

                                    Charleston, SC  29414

Packet Pickup:    Race Day at Seaside Inn                     Saturday, June 5, 2004 4:30-6:30 PM     

For more race information please contact romansk@musc.edu

 

 


Entry Form

 

Name:  __________________________________________________________

 

Address:  ________________________________________________________

 

City:  ___________________            State:  __________     Zip:  ____________

 

Phone Number:  __________            Email Address:  ____________________

 

Age (as of 6-05-04):  _________________                Male                Female

 

T-shirt Size (please circle)                 S          M        L          XL

 

Amount Enclosed:  $____________

Waiver:  In consideration of the acceptance of entry, I for myself, my heirs, and assigns, hereby release the sponsors, race workers, and officials, MUSC, and the PT Class of 2005 from any and all liability arising from illness, injuries, and damages I may suffer as a result of participation in such event.  I attest that I am physically fit and have sufficiently trained for this event, and am aware that participating in this event could, in some circumstances result in severe physical soreness or injury.  I also give permission for free use of my name and picture in any broadcast, telecast, or written account of this event.  I understand that the entry fee I pay is non-refundable.

 

Signature:  _______________________________________________          Date:  _____________