Lighthouse Fun Run 5K Endorsed by the Governors Council for Physical Fitness Location: Port Sanilac Lighthouse, Lake Street, Port Sanilac, MI Race Date & Time: August 1st, 2015 | 9:00AM Course: The course is flat and fast along the Lake Huron shoreline on beautiful Lake Street Starting and ending at the Lighthouse Awards: 8 age groups, top 3 runners from each group, 1 for over all women and men. Age Groups: M/F 10 and under 11-15, 16-19, 20-29, 30-39, 40-49, 50-59, 60 and over Entry Fee: Ages 10 and under are FREE, $20 Entry Fee before May 1st, $25 Entry Fee from May 2nd - July 20th (guaranteed shirt if form received before July 20th), $30 Entry Fee from July 21st - Day of Fun Run. Registration: Online: www.portsanilac.net | RoadRunner.com | runsignup.com Mail: Village of Port Sanilac DDA P.O. Box 107 Port Sanilac, MI 48469 | Race Day Registration: 8 AM-8:45 AM ______________________________________________________________________________ Last Name___________________First Name______________________ Phone _____________ Address_______________________________ ___City_______________________ State______ Gender M F Age on Race Day ________________ Birthdate _________________________________ Tech Shirt Size (Please circle one) Male S M L XL 2X Female S M L XL 2X Youth Cotton T-shirt Size S (6-8) M (8-10) L (10-12) Entry Fee Includes race t-shirt (*Guarantee shirt if registered before 07/20/2015) Only paid registrations include a t-shirt. Waiver: By submitting this entry form, I hereby, my heirs and my executors, waive and release all rights and claims for damages I may have against the Village of Port Sanilac, and all sponsors, and race management organization, for injuries suffered by me in this event. I attest that I have trained sufficiently to participate in this event and I am physically fit. ______________________________________________________________________________ Participant’s Signature Parent’s Signature (if under18) Date signed
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