November 5, 2017–St. Luke’s Parish - 11:35 Start

On-line Registration (NO ADDITIONAL REGISTRATION FEES)

Adults - $40, Kids 11 – 15 - $20, 10 and under $10 (Includes lunch)Just lunch - $10

Lunch includes: Cuban sandwich, chips, fruit, soda, water

Or mail the attached with a check to St. Luke’s Parish before October 31’th

On-line:

In person:Race morning at St. Luke’s Parish from 10:00 to 11:20 – the race will start at 11:35 and we need a few minutes, so 11:21 is too late. $50 Adult, $25 (11-15), $15(under 10) race morning

Free t-shirts to everyone registered before September 30’th. After the 30’th,until the shirts run out.

Special Thanks to our Sponsors and Advisors:

Darien Police Department
Rev3 / Road ID

No rain date and no refunds

Name --______Race Fee - ______

Sex--______Age______Additional Donation - ______

RUN______WALK______Total - ______

Phone #--______Fees:

Adult - $40 Preregister $50 Race Day

Address--______Kids (11-15)- $20, $25 Race Day

Kids (under 10) - $10, $15 Race Day Just Lunch $10

T-Shirt Size (M/W) --______

Signature agreeing to the below release

______

Release form: I know that running a road race is a potentially hazardous activity. I should not enter and participate unless I am medically able and properly trained. I agree toabide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this Viva Cubana5k, including but notlimited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known andappreciated by me. I understand and will abide by the rule that no wheeled baby conveyances or other wheeled means of conveyance, or pets are permitted in the race.Havingread this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the race director, his family, all volunteers, St. Lukes Parish, all city, county, and state governments, and all sponsors, supporters and advisors, their representatives and successors from all claims or liabilities of any kind arising out of my participation inthis event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I also grantpermission for the race director, and St. Lukes Parish to contact me by email for race related communications. I understand that all entries are final with no refunds. The official race directorreserves the right in any event of emergency or local or national disaster to cancel the race or to change the day and/or time to a later day and that in the event of cancellationor change there is no refund of entry fees.