Light the Night 5k

Light the Night Glow Run/Walk

Shine a Light on Suicide Awareness
Your Information
Full Name*

First NameLast Name
Age*
Run or Walk*

RunnerWalker
E-mail*
example@example.com
Contact Number*
Shirt Size
*Make sure to select Shirt Option at the end of form*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I understand that participating in the run/walk is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. Risks associated with running or walking include but are not limited to falls, contacts with other participants, the effect of the weather, traffic, and the conditions of the road. Having read this waiver and knowing these facts and in consideration of accepting my own application, I release Light the Night and all sponsors from any and all injuries or liabilities of any kind arising from my participation in this event. Anyone under the age of 18 should be accompanied by an adult.
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Additional Entries

Age 5 & Under are free
Full Name

First NameLast Name
Age
Run or Walk

RunnerWalker
Shirt Size
Full Name

First NameLast Name
Age
Run or Walk

RunnerWalker
Shirt Size
Full Name

First NameLast Name
Age
Run or Walk

RunnerWalker
Shirt Size
Full Name

First NameLast Name
Age
Run or Walk

RunnerWalker
Shirt Size
I understand that participating in the run/walk is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. Risks associated with running or walking include but are not limited to falls, contacts with other participants, the effect of the weather, traffic, and the conditions of the road. Having read this waiver and knowing these facts and in consideration of accepting my own application, I release Light the Night and all sponsors from any and all injuries or liabilities of any kind arising from my participation in this event. Anyone under the age of 18 should be accompanied by an adult.

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Light the Night Glow Run/Walk