Shine bright 5k walk run! November 1st @7pm morsches park

Registration begins at 6 pm
$20 adults(shirt and glow sticks)
$10 kids(glow sticks)
Register by October 20th to guarantee shirt!

All proceeds to benefit community of hope mission trip to Haiti.

We will have ribbons for first, second, and third place finishers in each age group and a prize for overall winner.

Please fill out the form below per runner/walker to register!

Also, click the *Pay Here* button to make your online registration complete.

Name *
Age *
Shirt Size *
Runner/Walker Payment *
Participant Waiver for Race Registration I know that running [volunteering for] a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road , all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Community of Hope, Shine Bright Glow Run, the city of Columbia City, IN , and all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event.
Date *