Mail in RegistRAtion Form
B’nai B’rith Health Run 5K
Sunday August 24, 2025
For more info contact
Dr Bradley Cohn 216-381-6000
Robert Grossman 216-291-4045 Mail Application to address below with check payable to B'nai B'rith Health Run by August 19, 2025
to Bradley E. Cohn Web site: bnaibrithhealthrun.org
4320 Mayfield Road # 209 E mail: bbfunrun@yahoo.com
South Euclid Ohio 44121
$ 15.00 advance registration $ 20.00 day of race.
NAME_______________________________________________________________
ADDRESS_____________________________________________________________
CITY_________________________ STATE___________ ZIP CODE___________
PHONE________________ AGE____MALE__FEMALE__
T SHIRT SIZE XL___ L ___ M___ S___
5K___
In consideration of the acceptance of this entry, I waive for myself, my heirs and assigns any and all claims for damage which I have against B'nai B'rith, Dr. Bradley Cohn and all other sponsors of the B'nai B'rith Health Run Walk, the City of Pepper Pike or their representatives as the result of any or all injuries which might be received during the B'nai B'rith Health Run/Walk on August 24, 2025. This is a USATF sanctioned event. In regards to this sanction, it is understood and agreed for any that USA track and Field and its Association shall be held free and harmless by the applicant for any liabilities or claims from damages arising by reason of injuries of anyone during the conduct of or otherwise in connection with , the completion of event. I attest and verify that I have full knowledge of the risks involved in the event and I am physically fit and sufficiently trained to participate. I also give permission to use any photograph in which I may appear at this event to be used as an accompaniment with any non-commercial press releases.
_____________________________________________ ___________________________
Entrants Signature Date
_____________________________________________ _____________________________
Parents if under 18 Date
Sunday August 24, 2025
For more info contact
Dr Bradley Cohn 216-381-6000
Robert Grossman 216-291-4045 Mail Application to address below with check payable to B'nai B'rith Health Run by August 19, 2025
to Bradley E. Cohn Web site: bnaibrithhealthrun.org
4320 Mayfield Road # 209 E mail: bbfunrun@yahoo.com
South Euclid Ohio 44121
$ 15.00 advance registration $ 20.00 day of race.
NAME_______________________________________________________________
ADDRESS_____________________________________________________________
CITY_________________________ STATE___________ ZIP CODE___________
PHONE________________ AGE____MALE__FEMALE__
T SHIRT SIZE XL___ L ___ M___ S___
5K___
In consideration of the acceptance of this entry, I waive for myself, my heirs and assigns any and all claims for damage which I have against B'nai B'rith, Dr. Bradley Cohn and all other sponsors of the B'nai B'rith Health Run Walk, the City of Pepper Pike or their representatives as the result of any or all injuries which might be received during the B'nai B'rith Health Run/Walk on August 24, 2025. This is a USATF sanctioned event. In regards to this sanction, it is understood and agreed for any that USA track and Field and its Association shall be held free and harmless by the applicant for any liabilities or claims from damages arising by reason of injuries of anyone during the conduct of or otherwise in connection with , the completion of event. I attest and verify that I have full knowledge of the risks involved in the event and I am physically fit and sufficiently trained to participate. I also give permission to use any photograph in which I may appear at this event to be used as an accompaniment with any non-commercial press releases.
_____________________________________________ ___________________________
Entrants Signature Date
_____________________________________________ _____________________________
Parents if under 18 Date
i