NHN 5K Registration form

Lisbon United Methodist Church

14 School Street, Lisbon Falls, Maine 04252

(207) 353-4982    www.LisbonUMChurch.org

 

Neighbors Helping Neighbors 5K

Participant Registration Form

 

**************************************************************************

 

Please send Registration Form and payment to Lisbon United Methodist Church OR  email completed form to neighborshelpingneighbors5k@yahoo.com  by August 30, 2018  to receive a shirt.  Payment – $25 per person – is also accepted through PayPal account:  neighborshelpingneighbors5k@yahoo.com  —

** Walk-ons the day of the race are welcome! **

 

 

Contact Name: _____________________________       E-mail: __________________________

Mailing Address: ____________________________________________________

Town: _______________________________   State __________  Zip __________________

Phone No. _____________________________

 

T-Shirt Size (men’s unisex size):    S     M     L     XL     2XL      3XL                   Youth:  S   M   L

 

Please list the name(s) of participants and the tee shirt size needed for each:

 

Name                                                                    Tee shirt size                 Race fee

______________________________                __________                     $_________

______________________________                __________                     $_________

______________________________                __________                     $_________

______________________________                __________                     $_________

______________________________                __________                     $_________

______________________________                __________                     $_________

 

TOTAL DUE      $ ______________

 

Each participant or parent of participating minors must sign a waiver of liability at check-in.

This is a timed event.  Results will be posted at the race finish area and on the church website.

 

Thank you for supporting our mission to help local neighbors who need assistance.