Family & Friends for Freedom Fund Inc.
Wounded Heroes - 5K Run/Walk
Saturday, November 10, 2007
Mountain Lakes, NJ
Please Fill Out This Form And Mail To:
Family & Friends For Freedom Fund, Inc.
40 Woodland Place
Pompton Plains, NJ 07444
Description: 5K run/walk through scenic residential area
Why: To benefit injured military men and women returning from overseas
When: Saturday, November 10, 2007 (Veteran’s Day weekend and Marine Corps Birthday)
Time: Race starts @ 9am; registration starts @ 7:30am
Where: 400 Boulevard, Mountain Lakes, NJ
Contact: Paula Sturla (973) 897-2237
Entry Fees: $15; $20 after November 5th
First Name: _________________ Last Name: _________________ Date of Birth: ___/___/___
Street Address: _______________________________________________________________
City: ____________________________________________ State: _______ Zip: _______
Phone: __________________________________________
E-Mail: _________________________________________
Team / Group: ____________________________________
Amount Enclosed: $_______________
(Make checks payable to Family & Friends for Freedom Fund, Inc.)
Waiver/Release: I know that running a road race is a potentially hazardous activity. I should NOT ENTER and run/walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with this event included but not limited to falls, contact with other participants, the effect of the weather, traffic and the conditions of the road, all such risks being known and appreciated by me. In consideration for my entry I do hereby for myself, and anyone whose behalf I am entitled to act on, waive and release Family and Friends for Freedom Fund, Inc., the Borough of Mountain Lakes, all affiliates, volunteers, sponsors, agents and representatives or assignors for any and all damages sustained and suffered by my connection with my association or entry in this race.
Signature: __________________________________________ Date: ___________
(Signature of participant or legal guardian if participant under 18 years old)