FREEZE
YOUR FANNY 5K
FUN RUN
Saturday, January 17th---10:00am
·
Runs will take place on the Lewiston/Clarkston Greenbelt
·
Race Day Registration will open at 9:00AM.
· COSTS:
PRE-REGISTERED - - $10.00 (No Ear
band), $15.00 (With Ear band)
AFTER January 6 - - $10.00 (No Ear
band), $20.00 (With Ear band)
·
For more info contact Mike Collins at 208-792-2308 or
Mcollins@lcsc.edu
__________________________________________________________________
Registration Form (Please Print)
Name:____________________________
Age:____
Gender:
M or
F
Address:_____________________City:____________State:_____Zip:______
Phone:_________
Please read the following statement and sign below
before submitting entry.
I know that competing in a fun run
is a potentially hazardous activity.
I should not enter and compete unless I am medically able and properly trained.
I assume all risks associated with competing in this event, including,
but not limited to falls, contact with other participants, the effects of
weather, traffic, interactions with non-participants and the conditions of the
road all such risks being known and appreciated by me.
Having read this waiver and knowing these facts and in consideration of
the acceptance of my entry, I, myself and anyone entitled to act on my behalf,
waive and release any and all sponsors and organizers, their officers, agents
and assigns, the race director and volunteers from all claims or liabilities of
any kind arising out of my participation in this event even though that
liability may arise out of the negligence or carelessness on the part of the
persons named in this waiver.
I also understand that my entry fee is non-refundable and
non-transferable. A parent must
sign if the child is under 18 years of age.
This certifies that the child has permission to participate and agrees to
the previously stated waiver.
ACTS OF GOD & OTHERS
DISCLAIMER: Although it is not
anticipated that weather, road construction, etc.. will affect the race.
The race organizers reserve the right to adjust the course, the time of the race
and anything other compensations necessary due to factors beyond their control
which includes, but is not limited to weather, road construction, ... In
eleven years of putting on these races we have never had to worry about this
type of an event, but want to be sure that any and all participants are aware
that it could happen and that we will make every effort to conduct the race to
the best of our ability with the safety of all participants and volunteers in
mind.
Signature:
_________________________________ Date:__________
Parent/Guardian (if under 18 years of
age): ____________________________Date: __________
Mail Entry Form and Fees to:
Mike Collins
Make checks payable to
LCSC XC
LCSC Cross Country