In consideration of acceptance of this entry, I the undersigned intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the race director and officials, the City of Norwalk, Lightfoot Running Club, their representatives, any and all race sponsors and supporters, volunteers, their agents, successors and assigns, for any and all injuries suffered by me in said event. I assume all risks with entering this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, extreme cold or wind, traffic and the condition of the road. All such risks being known and appreciated by me. I attest and verify that I am physically fit and sufficiently trained for the completion of this event. Further, I hereby grant full permission to any and all the foregoing to use my photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate purposes without compensation or remuneration.
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OFFICIAL ENTRY FORM (HITEKRACING.COM)
CIRCLE ONE: 10K RACE 5K HEALTH WALK LAST NAME: __________________________________ FIRST NAME: _______________________ SEX: ____________ DOB: _______________ AGE ON RACE DAY: _____________ ADDRESS:___________________________________________________ CITY: _________________________________ STATE: ________ ZIP: _________ TELEPHONE: ___________________________ EMAIL: ______________________
T SHIRT: S M L XL SPECIAL CATEGORIES CIRCLE AS APPROPRIATE: MOTHER POLICE OFFICER FIREFIGHTER
SIGNATURE: ____________________________________________ (parent or guradian must sign if under 18) Entry Fees: 10K $22.00 By May 6th - $25 after and on race day Walkers $12 by May 6th - $15 ater and on race day Make check payable and mail with application to: Lightfoot Running Club Don Capone 7 New Street Norwalk, CT 06855
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