Not Brave Enough for the 18 Mile Run...
Try the 1/8 mile run!
Come out to the barnegat lighthouse
saturday, june 10th at 3pm
run, walk or crawl from
the lighthouse to the 8th st pavilion
Registered runners receive free t-shirt*
post run gathering at kubel’s Goofy
attire
prizes | free apps | more
welcome
mile fun run
1/8 mile run - official entry form
$ 00
20 entry fee
*Not guaranteed for runners registered after June 1, 2017
LBI ROTARY
P.O. BOX 500
ship bottom, nj 08008
I would like to participate in the First Annual 1/8 Mile Race:
Name___________________________________________________________ Age____
Address__________________________________________________________________
City__________________________________ State_________________ Zip__________
Phone________________ Email address: ______________________________________
T-shirt size (long sleeve) (circle): adult: S M L XL XXL
I would like to sponsor the First Annual 1/8 Mile Race:
Business Name____________________________________________________________
Contact________________________________ Donation $100.00 Other: $
WAIVER: I know that running a road race is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained. I agree to abide by any
race official relative to my ability to safely complete the run. I assume all risks associated with running this event including, but not limited to: falls, contact with other participants, the effect
of the weather, including low or high temperatures and/or humidity, traffic and the conditions of the course, all such risks being known and appreciated by me. Having read this waiver
and knowing these facts and in consideration of your accepting my entry, I, myself and anyone entitled to act on my behalf, waive and release The LBI Rotary and all sponsors, their
representatives and employees and successors from any and all claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in this
waiver. Further, I grant to all of the forgoing authority to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.
Signature________________________________________ Date ____________________
All proceeds will benefit the lbi rotary club’s mission to support organizations in need
609-361-1044 • www.lbirotary.org