"Today is the start of many new and wonderful tomorrows"
765-478-5565

MONSTER MASH 5K
RUN/WALK

Saturday, October 21, 2017
Race starts at 10am

Look for the registration form in August 2017

Check in: 8:00-9:30am

Early Packet Pick Up: Thursday, October 19 and Friday Oct 20 8am-8pm

Entry Fees:      $20 if pre-registered by October 2
                        $25 after Sept 25

Awards: Immediately following the race on the Open Air Facility

Prizes:    Overall top 3 Male/Female
               Top 3 Male/Female in age divisions
               Best Costume

  Mail Form & Payment to: Golay Center, 1007 E Main St, Cambridge City In 47327

Last Name_____________________First Name____________________

Address________________________________City______________________

State____   Zip______________Phone #_________________

Male_____Female________T-shirt size________ (Please specify Youth or Adult Sizes)

Circle Age Group:  10 & under/  11-14/   15-19/   20-24/   25-29/   30-34/   35-39/ 40-44/   45-49/   50-54/   55-59/   60-64/   65-69/    70+

Emergency Contact & Phone #:____________________________________

I know that running a road race is a potentially hazardous activity and that I should not enter a run unless I am medically able and properly trained. I assume all risks associated with running this event. Having read this waiver and knowing these facts and in consideration of accepting my entry, I and anyone entitled to act on my behalf, waive and release the Golay Community Center, race volunteers and sponsors, their representatives, employees and Board of Directors from any claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in the waiver. Further, I grant to all of the foregoing the right to use any photographs, motion pictures, recordings or any other record of this event for legitimate purposes.

Signature__________________________________________________  Date_____________
(Parents signature if under 18)