Lighting up Lakewood 5K Glow Run/Walk

On Friday, June 6th at 8PM Lakewood will host its first glow-in-the-dark 5K !e are working hard to "ake this a "e"ora#le e$ent% Please note that only those registered #y May &'rd are guaranteed a shirt and ra(e #ag filled with goodies% )hildren *+ and under (an ,arti(i,ate in a Kids Fun -un for F-..% /ll Fun -un ,arti(i,ants will re(ei$e a treat #ag u,on finishing% 0ts easy to sign u, /ll you ha$e to do is return the #otto" ,ortion of this flyer to Miss !oll"er 1roo" *+&2% Please "ake all (he(ks ,aya#le to Lakewood P3O% 0f you would like to use a (redit (ard to register, ,lease do so online% Follow the links on our s(hools ho"e ,age% Each person participating must have his or her own registration form% Please do not in(lude "ore than one na"e on the for" #elow% 0f you register #y May &'rd, &+*4, you will re(ei$e a dis(ounted rate /fter May &'rd, e$eryone ,ays 5'+% /dult - 5&5 6tudents -5*5 1u, to age *82 Kids Fun -un- F-.. 7isit our we#site htt,899lightingu,lakewood%wee#ly%(o"

Registration 1Please Print2 Name::::::::::::::::::::::::: """""" ate of !irth::::::::::::::: Gender: Male """""" Fe"ale "#

$ddress:::::::::::::::::::::::::::::::::::::::::: %it&:::::::::::::::::::::::::: 'tate: ::::: (hone: :::::::::::::::::::::: Email:"""""""""""""""""""""""""""""""""""""""""""""""""""""" 5K Run:::: 5K Walk:::: )** +eter Kids Run::::: ,#'hirt 'i-e:1(ir(le one2 ;6 ;M ;L 6 M L <L <<L
0 re(ogni=e and a(knowledge that this is a 5K -un9!alk% 0 $oluntarily agree to assu"e the full risk of any in>uries, da"age, or loss, regardless of se$erity, that "ay ha,,en as a result of ,arti(i,ating in the ?Lighting u, Lakewood 5K Fun -un9!alk@% 0 (ertify that 0 a" "edi(ally a#le and ,ro,erly trained to ra(e% 0 here#y release Lakewood 6(hool staff, $olunteers, s,onsors, offi(ials, registered (harita#le organi=ations, (o""ittee "e"#ers, and the 7illage of 3win Lakes fro" all lia#ility for in>ury, da"ages, or loss that "ay o((ur to "e and arising of, (onne(ted with, or in any way asso(iated with this a(ti$ity% 0 ha$e read and fully understand the a#o$e i",ortant infor"ation, warning of risk, assu",tion of risk and wai$er and release of any (lai"s% Photos at this e$ent "ay #e used for future ,ro"otional "aterials%

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Parti(i,ants 6ignature

0f under *8, Parent or Auardians 6ignature

+ake checks pa&a.le to Lakewood (,/0 +ail to: Lakewood 'chool1 )2)3 Wilmot $venue1 ,win Lakes1 W4 55)3)