Twilight 5K
FUN RUN
Friday, April 18 – 7:00pm
· Run will take place on the Lewiston/Clarkston Greenbelt
· Race Day Registration will open at 8:00AM.
· COSTS:
PRE-REGISTERED - - $10.00 (No Shirt), $15.00 (With Shirt)
AFTER APRIL 7 $10.00 (No Shirt), $20.00 (With Shirt)
· 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: (_____) _____-_________ SHIRT SIZE (IF APPLICABLE): ___S ___M ___L ___XL
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 AND FEES TO: (Checks payable to LCSC XC)
LCSC Cross Country, c/o Mike Collins
500 8th Avenue
Lewiston, ID 83501