5th Annual Bruins 5K Registration (Pay by Check)
Medals will be awarded (1st/2nd/3rd) in various age categories.
Raffle Prizes! Once you cross the finish line, your 5K wristband will be swapped for a raffle ticket. Must be present to win.
The net proceeds for this event will fund the Bruins Scholarship program which awards scholarships to high school seniors I the Bruins Organization who best exemplify integrity, responsibility and are role models to younger participants in the organization.
When: Sat. May 12, 2018 / Location: Rose Bowl LOT B - 1001 Rose Bowl Drive, Pasadena
7:45 am - Arrival
8:05 am - Scholarship Recipients Award Presentations
8:30 am - Start
9:45 am est. - Raffle Prizes to follow
Registration is open until the day of the event. Deadline to receive a t-shirt has past.
Payment must be received in order for your registration to be complete.
Questions, e-mail Debbie Okihara at firstname.lastname@example.org
Registration Fee is Non-refundable.
$35.00 + Donation $_________= Total: $__________ Manually write in the total.
NOTE: Be sure to select which team you are registering for so the proper team receives credit.
Select from the drop down
Girls - Golden Girls
Girls - Her-ricanes
Girls - The Incredibles
Girls - Elite Stars
Girls - Dream Team
Girls - Hula Hoopz
Girls - Dolphins
Girls - Hoop Stars
Girls - Dragonflies
Boys - Legends
Boys - Prime
Boys - Blue Hawks
Boys - Dragons
Boys - Spiders
Boys - Thunder 4
Boys - Crushers
Boys - Ninja Warriors
Boys - Up N Coming
Boys - Vipers
Boys - Renegades
Boys - Strikers
Boys - Warriors
Boys - Lightning
Boys - Rockets
Boys - Sharks
Boys - Defenders
Boys - Rule
Boys - Thunder II
Boys - Tornados
Boys - Rebels
Registrant Name (First/Last)
Registrant T-shirt Size:
I do not want a t-shirt
In consideration for the permission granted by the Pasadena Japanese Athletic Association, a California corporation; the Pasadena Bruins Basketball organization; and the Pasadena Japanese Cultural Institute, a California corporation; (hereinafter collectively the "Pasadena Organizations"), I undersigned herein listed hereby voluntarily release, waive and discharge the Pasadena Organizations, their officers, directors, representatives, affiliated organizations and agents from any and all liability arising out of or in connection with my involvement in the Bruins Scholarship 5K Run/Walk (hereinafter the "Event"). For the purposes of this agreement, liability means all claims, demands, losses, causes of action, suits, or judgments if any and every kind arising out of any and all personal inquiries, death, illness, property loss or damages to property of any nature incurred while participating in the Event. I, by my execution of this agreement hereby acknowledge that I am responsible for providing my own medical insurance for all participants listed on this form and herein agree, to hold harmless, defend and indemnify the Pasadena Organizations from any and all liability, as defined, resulting from or in any manner arising out of our participation in the Event.
By checking this box, I acknowledge, understand, and agree to be bound by its terms, and I am authorized and over the age of 18.
By checking this box, I acknowledge, understand, and agree to be bound by its terms, and I am authorized as parent or guardian for this participant.
As a sign of support for this event - which directly funds the Bruins Scholarship program, we will gladly accept any and all donations.
Donation (optional - all donations are fully tax deductible):
Enter Donation Amount Here:
INSTRUCTIONS FOR PAYING BY CHECK:
1. Print and mail a copy of your registration form along with a check made payable to "PJAA" to the following address:
Pasadena Japanese Athletic Association (PJAA)
c/o Debbie Okihara
807 W. Camino Real Ave. #S
Arcadia, CA 91007
On the memo line, please write the name of the participant and the team name to give credit.
2. You will receive a confirmation e-mail with a copy of your registration for your records.
Do Not Fill This Out