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North Lawrence
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Zombie Run 5K Registration
First Name
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Last Name
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Age
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Check if you are currently a K12 Student
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** Parent / guardian MUST place a digital signature at the end of this form for a minor to participate.
Select the registration of your choice
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Payment may be send to: Attn: Zombie Run: 258 BNL Drive, Bedford, IN 47421 or paid during the registration period 10-11:30 on race day.
Please selct your t-shirt size: (100% pre-shrunk cotton)
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Please enter a working e-mail address to recieve important notifications. NO SPAM will be sent
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Phone
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RULES FOR RUNNERS: Stay on the course. No pushing, shoving, hitting, kicking, or making deliberate physical contact with a zombie participants in any way. Zombies have been instructed to only make contact when reaching and/or grasping a flag from a runner. Zombies may only take 1 flag at a time. No animals in the race or at the start or finish area. WAIVER: I understand that participation in “Run for Your Life 5K” presented by the NLCC (North Lawrence Career Center at BNL) may involve strenuous physical activity, which carries risks of injury and illness. I understand that it is advisable to consult with my personal physician before participating in such activity. In consideration of your accepting my entry, I, intending to be legally bound for myself, my heirs, executors and administrators, acknowledge that I have made my own investigation and that I am on notice of, assume, and accept those risks. To the maximum extent permitted by law, I release the NLCS system, the NLCC, and BNL, and all other individuals and organizations sponsoring, promoting, organizing, or participating in “Run for Your Life” from liability for any illness, injury or other damages or harm I may suffer as a result of participating in this program. Also, none of the above are responsible for the loss of personal items nor any other form of aggravation in connection with said event. I also give permission for the free use of my name and picture in any broadcast, telecast, or print media account of the event. I understand that all participants must obey the lawful order of a police officer, coordinators, and all rules that apply during school functions on this or any NLCS campus. In submitting this form, I acknowledge I have read and fully understand my own liability and do accept the restrictions. I represent and certify that I am over 18 years of age or have the consent of my parent or legal guardian; that I am in appropriate physical condition to participate in this program; and that I have carefully read this Acknowledgement and Waiver, understand its contents, and agree to it of my own free will.
- By placing your name into the below entry area you are stating that you are the name listed and are giving verification you have read the rules and terms and agree. If signing for a minor you are agreeing that you have read the rules and terms and approve of the said minors participation.
Digital Signature
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SUBMIT REGISTRATION
Please email Dana Haddan at haddand@nlcs.k12.in.us with any questions.
 
    • NLCC Office

      North Lawrence Career Center
      258 BNL Dr.
      Bedford, IN  47421

      Phone:  812-279-3561
      Fax:  812-275-1578

      Mission

      The mission of the North Lawrence Career Center is to prepare students for a lifetime of learning and earning by helping them to mature and develop skills and attitudes necessary for a meaningful and purposeful life.
    • School Directory

      Administrative Offices - 812-279-3521
      OLJMG Joint Services - 812-279-6651

      High School
      BNL High School - 812-279-9756
      NL Career Center - 812-279-3561

      Middle School
      Bedford Middle School - 812-279-9781
      Oolitic Middle School - 812-275-7551
      Shawswick Middle School - 812-275-6121

      Intermediate School
      Parkview Intermediate - 812-275-3301

      Elementary School
      Dollens Elementary - 812-275-3885
      Fayetteville Elementary - 812-279-2376
      Heltonville Elementary - 812-834-6632
      Lincoln Elementary - 812-275-6311
      Needmore Elementary - 812-279-2192
      Parkview Primary - 812-275-2333
      Shawswick Elementary - 812-279-3115
      Springville Elementary - 812-279-1388
      Stalker Elementary - 812-275-4821

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