Afterschool Programs of Lancaster Fun 5k (3.1 miles) Run/Walk Registration Form

Saturday May 6th @ 9am

Race day registration begins at 8am

Hocking Park

Remit with fee to: 620 Garfield Ave. Lancaster, Ohio 43130

Website: Afterschoolprogramsoflancaster.org

Name: ______School/Business Affiliation: ______

Age:______Gender:______

Address: ______

Phone:______

Email: ______

Registering for (circle all that apply):

Individual-$25 Youth (14 & under)-$15

Names of additional youth entrants (14 &under):

Name:______Name:______

Name:______Name:______

T-shirt sizes: (guaranteed to those who prepaid/registered; limited availability day of race)

Adult Unisex: S M L XL XXL

Release info is attached; please review. Children under age 18 need a parent/guardian signature on this form prior to participation.

Signature:______