Henry County Middle School’s Sharpen the Saw Lighthouse Committee

Zombie Run

March 28, 2015 at 9:00 a.m.

Registration

Cost to enter is $15.00

Please complete the below information to register for the event:

First Name
Last Name
Gender / Male Female
Birthdate (MM/DD/YYYY)
Email Address
Day Phone
Evening Phone
Address Line 1
Address Line 2
City
State
Zip Code
Race Day Emergency Contact Number
Race Day Emergency Contact Name
T Shirt Size (Please check desire size) / Adult
Extra Small
Small
Medium
Large
Extra Large
XX Large / Child
Extra Small
Small
Medium
Large
Extra Large
XX Large
Select Category / Runner
Walker
Wheelchair

By indicating your acceptance, you understand, agree, warrant and covenant as follows:

Waiver. YOU UNDERSTAND THAT PARTICIPATION IN THE EVENT IS POTENTIALLY HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE AND PROPERLY TRAINED. YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING DEATH.YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND CONVENANT NOT TO SUE HENRY COUNTY MIDDLE SCHOOL OR ITS REPRESENTATIVES FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU OR ANY REGISTERED PARTY.
______

Participant’s Signature (if under 18, parent or guardian must sign)

2015 HCMS SPRING ZOMBIE ATTACK 5K

Saturday, March 28th

New Castle Service Park (New Park)

Park Road, New Castle KY

Site Registration – begins at 8:00am

1 Mile Fun Run (ages ?-11) begins at 8:30am

5k (ages 12+) begins at 9:00 am

Early registration gets a T-shirt at race, registration that morning gets a T-shirt post-race.

Early registration: make checks payable to Henry County Middle School, and send to 1124 Eminence Road, New Castle, Kentucky 40050 by March 10th. Payment can be also be made at race as long as the registration form is turned in by March 10th.

Proceeds go to Henry County Middle School end of the school Year Festivities.