Twilight
5K
FUN RUN
Friday, April 17 –
7:00pm
·
Run will take place on the Lewiston/Clarkston
·
Race Day Registration will open at 6:00PM.
·
COSTS:
PRE-REGISTERED - -
$10.00 (No Visor), $15.00 (With Visor)
AFTER April 7 - -
$10.00 (No Visor), $20.00 (With Visor)
·
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: (_____) _____-_________
EMAIL: _____________________________________________________
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.
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