RUN FOR THE ROSES
Tourette Syndrome:
Tourette Syndrome (TS) is a neurological disorder characterized by tics involuntary, rapid, sudden movements that occur repeatedly in the same way. To receive a diagnosis of TS, a person must have both multiple motor and one or more vocal tics, not necessarily simultaneously, throughout a span of more than one year. Tics periodically change in the number, frequency, type and location and wax and wane in their severity. While most people with TS have some control over their symptoms for seconds to hours at a time, suppressing them may merely postpone more severe outbursts. Tics are experienced as irresistible and (as the urge to sneeze) eventually must be expressed. Tics increase as a result of tension or stress and decrease with relaxation or concentration on an absorbing task. TS frequently exists in a co-morbid state with ADD, ADHD, OCD, Learning Disabilities or Anxiety Disorder. Although Tourette Syndrome is not generally considered life threatening, it is frequently described as being life tormenting.
Charitable Donations:
All donations are welcome. Additional donations may be made to benefit Tourette Syndrome through the Run for the Roses Event at the following levels of recognition: Walker $20, Jogger $50, Sprinter $100 or Marathoner $200. Contributions may be made either online at Active.com 
or Signmeupsports.com or with the attached registration form.
Registration Form: Please Print
Check the race that you are entering. (one runner per application please)
___ 5K Open
___ Youth 0.6K(1/3 MILE)
Last Name: __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ First Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M.I. _ _ _ _
Street Address/ Apt #:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
City:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ State:_______Zip Code:_ _ _ _ _ _ _
Date of Birth:______/_______/_______ Age on 6/3/ 07 _________ Sex: M F
T-SHIRT Size: S M L XL XXL or Singlet Size (ADD $3.00 to fee): M L XL Circle one: Men's or Women's
Youth: M L
Home Phone:_________-_________-___________Work Phone:_________-_________-___________
CARA #________________ Clydesdale: (Circle) Masters Open A B C D
Will you provide your yellow ChampionChip? If yes, Please provide Code: ___________________
Entry Fees: No Refunds, All Mail, Fax or Internet Entries Must Be Received By Friday, 6/1/07.
5k Race Fee Paper Thru May 28 $29________
5k Race Fee ONLINE Thru May 29 $26 ________
5k Race fee after May 29 or on race day. $35 ________
Pre-Race day Student/CARA Discount: (only 1 discount /person)-- < $ 4 > ________
Youth Event (no add'l discounts) $15 ____________
I WANT a Cotton SINGLET instead of a T-shirt (add) $3 ________
I do NOT want a T-Shirt at all -- < $1 >________
Additional Charitable Contribution $ _________
PRE-REGISTRATION ONLY: FAMILY DISCOUNT of 4 or MORE No Other Discounts Apply $ 75.00 __________
(Separate entries must be filled out for each participant)
Total:________
Timing:The 2008 Run for the Roses will use the ChampionChip timing system. Each participant will receive an envelope containing their timing chip. Chips will be distributed on race day only. You must wear your chip on your shoe in order to be timed. No chip; no time. You are responsible for returning the chip immediately after the race or mailing it back in the provided return envelope. Participants will be charged $30 for any lost or damaged chips.
Waiver:
In consideration of the foregoing, I, for Myself, my heirs, executors, administrators, Personal representatives, successors and assigns, waive and release any and all rights, claims and causes of action, I have or may have against the Chicago Area Runners Association, Mark Drugs Roselle and its Affiliates, Tourette Syndrome Association Village of Roselle, Roselle Park District, Roselle Chamber of Commerce and Industry, and any and all sponsors, or any of their agents, employees, Officers, directors, successors or assigns their representatives and successors, that may arise as a result of my participation in the 2008 ROSELLE RUN FOR THE ROSES and any pre- and Post-race activities. I attest and verify that I Am physically fit and have sufficiently Trained for the completion of this event and My physical condition has been verified by a Licensed medical doctor. Further, I hereby Grant full permission to any and all of the Foregoing to use any photographs, motion Pictures, recordings, or any other record of this event for any legitimate purpose, including commercial advertising.
For Payment By Credit Card (Visa or Mastercard only)
__ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __ Expiration Date: ___ ___/___
All Entries Must Be Signed Signature of Card-Holder:________________________________
Please also print name) __________________________________
Signature of Applicant________________________________________________Date:_____________
_____________________________________________________________ ___________________
Signature of Parent or Legal Guardian-for participants under 18 years old .
MAKE CHECKS PAYABLE TO: "RUN FOR THE ROSES"
DROP OFF, MAIL OR FAX TO:Mark Mandel c/o MARK DRUGS ROSELLE
384 E. Irving Park Road, Roselle, IL 60172 FAX: 630-529-3429
For more information, applications or Pledge Sheets contact Mark Mandel at 630-529-3400,
e-mail: info@MarkDrugs.com or Visit www.MarkDrugs.com
PLEDGE SUPPORT SHEET 2008 RUN FOR THE ROSES
TO BENEFIT THE TOURETTE SYNDROME ASSOCIATION