CITY OF LANCASTER Attn: MONSTER MASH MILE JUSTIN PATANANAN 44933 NORTH FERN AVENUE LANCASTER, CA 936534

presents

Saturday, October 27th Downtown Lancaster

Race Day Registration Opens 7:00AM Open 1 Mile Race 8:00AM* Childrens Mile 8:20AM* Awards Ceremony 8:45AM
*Subject to change based on number of participants

Race Entry Form

Race Day Registration & Packet Pickup Open Race (13 years & Up) Childrens Race (13 years & Under) Awards Ceremony 7:00AM 8:00AM 8:20AM 8:45AM

Lancaster City Hall & Lancaster Blvd

Race Information
The City of Lancaster and the City of Lancaster Wellness Committee are st proud to present The 1 Annual Monster Mash Mile. All proceeds, as well as toy donations, from the Monster Mash Mile will go to the Childrens Center of Antelope Valley. We look forward to seeing you race day and be sure to stick around Lancaster Blvd for the annual Boolvd Halloween and Harvest Festival! Online registration available at Active.com Event occurs rain or shine Awards for overall finishers and fastest costumes Participants are encouraged to wear halloween costumes Participants are encouraged to donate a new & unwrapped toy 1 Mile Course Map

ENTRY FEES (check box)

1 Mile Run/Walk Late Registration I dont want participate in the running events but would like to make donation of $10 +$ 5 $

TOTAL

Start

Finish

$ Please make checks payable to Childrens Center of Antelope Valley and mail with entry form (postmarked b 10/22/12) to: City of Lancaster Attn: Monster Mash Mile Justin Patananan 44933 North Fern Ave Lancaster, CA 93534
(Entry Fees are non-refundable and non-transferable)

WAIVER:

I, INTENDING TO BE LEGALLY BOUND HEREBY FOR MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS, WAIVE AND RELEASE ANY AND ALL RIGHTS I MAY HAVE AGAINST THE CITY OF LANCASTER OR ANY SPONSORS ASSOCIATED WITH THIS RACE, OR ANY OTHER RACE OFFICIALS, THEIR AGENTS, REPRESENTATIVES, SUCCESSORS, OR ASSIGNS FOR ANY AND ALL INJURIES, AILMENTS OR OTHER CONSEQUENCES SUFFERED BY ME IN THE MONSTER MASH MILE ON SATURDAY, OCTOBER 27, 2012. I HEREBY GRANT FULL PERMISSION TO THE CITY OF LANCASTER OR AGENTS AUTHORIZED BY THEM TO USE ANY PHOTOGRAPHS, VIDEOTAPES, MOTION PICTURES, RECORDINGS, OR ANY OTHER RECORD OF THIS EVENT FOR ANY LEGITIMATE PURPOSE. I HAVE READ AND UNDERSTAND EVERYTHING W RITTEN ABOVE.

SIGNATURE OF WALKER OR RUNNER (PARENT/GUARDIAN MUST SIGN IF ENTRANT IS UNDER 18)

For more information contact Justin Patananan at (661)945-6804 or jpatananan@cityoflancasterca.org

Date

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Benefitting