LISBON - A 5K Run-Walk and 1-mile fun run will be held Saturday Aug. 17 in conjunction with Lisbons 2013I love this Town Homecoming Weekend. The races are sponsored by Mort Backus and Sons and will start and finish at the American Legion Hall, Main Street, Lisbon, NY.
The pre-registration fee $12 if paid before Aug. 3 and the race day registration fee is $15. The Fun Run is free and no registration is required. Registration for the 5K walk will begin at 7:15 a.m. on raceday and will close at 7:45 a.m. the 5K Walk and Fun Run will begin at 8 a.m. Registration for thr 5K Run begins at 8:15 a.m. and the run begins at 8:30 a.m.
Walkers and runners may register by filling our registration fom below and mailing the entries to Michael Backus t 833 Fulton Rd., Lisbon, NY 13658. Make registration fee checks payable To: Michael Backus/Lisbon Homecoming Run
All Paid Participants will Receive a Race Memento and any questions should be directed to
Mike Backus 315-386-2014 or email@example.com
LISBON HOMECOMING 5K RUN-WALK REGISTRATION
Name:_________________M/F___Age as of 8/17/13_____
Mailing Address: ____________________________________
___________ __________Circle One: RUNNER WALKER
(OFFICE USE ONLY) #____________________)
ALL ENTRANTS MUST READ AND SIGN WAIVER BELOW
In consideration of my accepting this entry form, I hereby for myself, my heirs, executors, and administrators waive and release all rights for claims and damages I may have against the Lisbon Homecoming Committee and all other sponsors of this event, their agents, representatives, successors and assigns for any and all injuries suffered by me at said run, or which may arise out of traveling to, participating in or returning from this event. By signing below, I acknowledge that I am aware of and understand the inherent risks involved in this activity and take full responsibility for those risks.
Signature: _____________________Date: ______________
Signature of Parent/Guardian if under 18 years of age:
_____________________________ Date: _________