Ray’s 5K - Registration Form
Mail To:
NEWLHS – Ray’s 5K
1311 S.
Robinson Ave.
Green
Bay, WI 54311
Please make checks payable to NEWLHS. Questions? Call Jeff Luepke @ 265-3192
| Categories (please check) | 5K Run Age Divisions (please check) |
| __ 5K Run (3.1 mile) | __ Grades 1-5 __ Grades 6-8 __ High School |
| __ 5K Walk (3.1 mile) | __ 19-29 __ 30-39 __ 40-49 __ 50+ |
| __ Kid’s Run (Ages 3-6, 1/4 mile) | |
| __ Kid's Run (Ages 7-10, 1/2 mile) |
(Please Print)
Name: _____________________________________________________________
Address:
___________________________________________________________
City: _______________________________
State: __________ Zip:___________
Phone: _____________________________ E-Mail:
________________________________
___ Male ___ Female
Shirt Size
Adult __ S __ M
__ L __ XL __ XXL ($2 extra)
Child __ S __ M
__ L
Please Pre-Register to Guarantee Shirt Size
Waiver : In
consideration for your acceptance of this entry, I hereby release, discharge
from all liability and agree to hold harmless, NEWLHS Blazer Alumni Association,
NEW Lutheran High School, City of Green Bay, and all
sponsors, from any claims for damages that may happen to me while participating
in this event. This hold harmless agreement shall be binding on my heirs,
personal representatives and assignees. I attest that I have read, fully
understand and accept the aforementioned terms of participation.
________________________________________________________________
Signature: (All persons under 18 MUST have parent/guardian’s signature)