Registration Information:           

Entry fee for both the 5k and 1 mile walk: 
$20 Pre-registration; before race day.  $25 Day of registration. 
The above prices include pasta meal. Day of registrations are not guaranteed a tech shirt, but we should have them available.
Make checks payable to:  Lower Lights Christian Health Center  
Mail to:  Lower Lights Christian Health Center
c/o Sharon Griner    
1251 West Broad Street      
Columbus, OH 43222          
Race Packets:       
Includes sponsor info, tech shirt, and a free spaghetti meal by Florentine Restaurant after the race.     
Pre-Registration & Packet Pickup:
Packet Pick-up begins October 7th at:
Columbus Running Company Dublin, Pickerington, or Westerville.

All Fields are Required
*The kids run is free, but we need a waiver signed by a parent or guardian. Thanks!

Last Name_________________________ First Name___________________                

Event (Circle One):      5k Run           1 Mile Walk

Address_________________________________________________                                                  
City_______________________  State_____   Zip _____________

Email_________________________                Home Phone(____) ____ ______          

Emergency Contact and # _____________________________________________

Circle One:  Male    Female    Shirt Size   S   M    L   XL    Age on race day______

Waiver:   I agree that by participating in the Run for Spaghetti 5K run/walk or by using any event facility premises, I do so at my own risk.  I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property.  I consent to medical treatment in the event of injury, accident and/or illness during the event.  I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge Lower Lights Christian Health Center, Columbus Running Company and any other race sponsors from any and all claims or causes of action (known or unknown) arising out of their negligence.  I acknowledge that I have carefully read the Waiver and Release and fully understand that it is a release of liability.  By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all event sponsors for their negligence.  I hereby grant full permission to any and all the foregoing to use my name and likeness in any broadcast, telecast, and video or print media of the event without compensation.                                                

Signature______________________________________________  Date____________

Guardian Signature (If under 18)______________________________ Date_________