Professional Timing Service!
At Independence Grove 16400 W Buckley Rd, Libertyville, IL Finish Line Celebration Medal to every participant
Also register online: www.waukegantownship.com
Trophy to winners in each category!
Register in Person: 5K for Labor Day Headquarters, Park Place 414 S. Lewis Ave., Waukegan, IL Registration day of event at race site: 7:00 a.m. - 8:45 a.m. / 9:00 a.m. - Race
This is your registration form. You may mail this form and payment prior to the event or bring to the event. Mail to: 5K For Labor Day Headquarters 414 S. Lewis Ave., Waukegan, Il 60085 - 847-244-9242.
Name________________________________________________________________________ Walker________ Runner______ M/F____ Competition, Timing and Bib Needed___________ Mailing Address________________________________________________________________ Email______________________________________ City______________________________________ State___________ Zip_________________ Phone_______________________________ Date of Birth_______/________/______ Make Checks Payable to Waukegan Township CARES Cash/Credit Card; Paypal
I plan to Walk/Run. Will sign waiver below:
*Please include T-Shirt size: XXL / XL / L / M / S
Donation only. Will pick up T-Shirt
WAIVER: I hereby waive all claims against Waukegan Township CARES, Waukegan Township, Lake County, Lake County Forest Preserve, Independence Grove, sponsors, or for personal injury I might suffer in this event. I attest I am physically fit and prepared for this event. Signature__________________________________________________________________________________ Date________________________________ Parent Consent for Minors/Sign_____________________________________________
For Office Use Only: ___ ___
Registered via website. Registered by Township staff.
Call 847-244-9242 or email Lpable@waukegantownship.com for more information