Entry Form

Registration:
Pre-registration must be post-marked by April 7, 2017.

Registration Fee:
$20.00 pre-entry with t-shirt
$25.00 post-entry with t-shirt while supplies last.

Male
Female
5-mi. Run
5-K Walk
 

I know that running and road racing are potentially hazardous activities. I will not enter and run or ride unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risk associated with running or riding including but not limited to falls, contact with other participants, the effect of the weather, including high heat and humidity, traffic, 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 you accepting my application, I for myself and anyone entitled to act on my behalf, waive and release R.W.Sauder,Inc., the race committee, the town of Lititz, the Lititz Police Department, Lititz Borough, Warwick and Penn Townships, and any other and all other running-related clubs or organizations assisting at the event on race day, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of negligence or carelessness on the part of the persons named in the waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.

 
I Agree