• $25.00 Registration before 10/21/2022
  • $30.00 Per Participant on or after 10/22/2022
  • $15.00 For 14 Years and Under
  • Registration on the day of race starts at 8am and Race starts @ 10am

Name: _______________________________________________

Email: _______________________________________________

Age on Race Day: _____

Gender: _________

Runner/Walker: ___________

Waiver – I know that running or walking in 5K races are potentially hazardous activities. I should not enter and run/walk in this activity unless I am medically able and properly trained. I agree to abide by any decision of the event staff relative to my ability to safely complete the run/walk. I assume all risks associated with running or walking in this 5K run/walk, but not limited to, falls, contact with other participants, the effects of the weather, including high heat or humidity, the conditions of the road and traffic in the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your acceptance of my application for participation, I, for myself, and anyone entitled to act on my behalf, waive and release the Stephanie Dara Berman 5K Run Organization, the Hightstown High School Parents Association After-Prom Committee, Hightstown High School, and all sponsors and volunteers, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this activity, even though that liability may arise out of negligence or carelessness on the part of the person named in this waiver.

Signature: ______________________________________________________________

Checks payable to: Parents Association After Prom Committee

Mail to: After Prom Committee, 3 Broad Street, Suite 102, Freehold, NJ 07728

Or Register Online at