*Saturday,October 25, 2014 at the Hopewell Park, 9375-9377 Rustling Leaf, Columbia, MD 21045.

*5k run will follow paved pathways along wooded trails leading to and around Lake Elkhorn.Halloween costumes are encouraged.

*Races start at 9:30am; Registration begins at 8:30 am.

*Registration Fees– $30per runner on or before October 18or $35after that date.

*Awards in the 5k – male and female, first 3overall and winner of each age group(13 & U, 14-16, 17-19, 20-29, 30-39, 40-49, 50-59, 60 & older).

*Awards in Fun Run – male and female, first 3 overall.

*Awards for best costume – male and female

*Each participant registered by October 18 will receive a festive shirt (youth adult sizes, please specify) others to receive shirts on first come first serve basis.

*Sign up on line at form below and mail in.

*Go to web site for more details about Young Life

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Young Life 5k Run For The Kids and 1 Mile Fun Run/Walk Entry Form – 10/25/14

Mail completed registration form and check made payable to Young Life to Phil Lang, 5412 Thunder Hill Road, Columbia, MD 21045 prior to November 2 or sign up on line at

(youth and adult)

First and Last Name:______Gender (M or F) ____ Shirt size ______

Address:______City:______State:_____ Zip:______

Email:______Birthdate (m/d/y)______Age_____

Waiver/Release I know that running [volunteering for] arunning club race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and surface conditions, all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and headsets are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing the facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Young Life, Coach Lang, LLC, Bullseye Running, Howard County, Maryland, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of the negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

*Signature of runner or Parent/Guardian if child is under 18

*______Date ______CIRCLE ONE: 5K Run OR 1 Mile Fun Run