Send this form with a check made out to Isles, Inc. to:
Isles, Inc. Attn: Christine Grele
10 Wood Street
Trenton, NJ, 08618
Registration Form
Full Name ____________________________________________________
Team Name_______________________________ (team members register individually)
Address_______________________________________________________
City_________________________________ State______ Zip___________
Phone _________________________ Email__________________________
Age on day of race ___________ Gender _____
T-Shirt size (S, M, L, XL) _______
____ 5K Run $25 ($2 USATF discount)
To pay by credit card, visit
USATF #_________________
www.milesforisles.org
____1 Mile Walk $20
____ Enclosed is my check for $_______
WAIVER
Isles, Inc. is a New Jersey nonprofit charity engaged in fostering self-reliant families in healthy, sustainable communities.
In consideration for the opportunity to voluntarily participate for my own personal benefit in the below listed Isles, Inc. activities ("Activity"),
I understand that the Activity involves risks of serious personal injury and death, as well as loss or damage to property, and I fully accept and
assume all risks, known and unknown, and accept all responsibility for losses, costs, and damages I incur as a result of my participation in the
Activity. USA Track & Field is a national sanctioning organization. I further hereby release, discharge, and promise and covenant not to sue,
or in any way aid in the institution or prosecution of a suit or claim against, Isles, Inc., USA Track & Field, Inc. and its member Associations
and any sponsors, organizers, and site owners or lessees and their affiliates, subsidiaries, administrators, trustees, directors, agents, officers,
representatives, volunteers, consultants, contractors, and employees (“Releasees”) from all liability, awards, claims, demands, losses, costs,
expenses (including but not limited to attorneys’ fees and court costs), or damages on my account (“Liabilities”), including death, disability, or
loss or damage to person or property caused or alleged to be caused in whole or in part by the sanctioning of this Activity or the action,
omission, carelessness, negligence, recklessness, or willful misconduct of the Releasees or otherwise, including negligent operations. I further
agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a
claim against any of the Releasees, I will indemnify, save and hold harmless, assume liability for and defend each of the Releasees, from any
Liabilities which any Releasee may incur as a result of such claim. I agree that this Release and Waiver will be governed by the laws of New
Jersey. I also approve the inclusion of my name and city of residence in the race results posted on the RacingNJ website.
Signature_____________________________________________________ Date________________
(Parent’s signature if under 18)
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Join us for a day of fun and fitness at
Isles’ Second Annual 5K Run
& 1 Mile Walk, Miles for Isles!
Register before April 13 and
receive a free T-Shirt!
Check-in begins at 8:30 am
Race begins at 10:00 am
Mercer County Park
East Picnic Area
West Windsor Twp., NJ
$25 for 5K Run
$20 for 1K Walk
$2 discount for USATF members
Contact: cgrele@isles.org
Snacks Provided
Age Group and Team Awards!
Bring family and friends for a
morning of fun!
Ask about setting up a table at
this event!
If you, or your company, are interested in
sponsorship opportunities, please contact
Valerie Buickerood at 609-341-4726
vbuickerood@isles.org
www.isles.org
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Training for and running a 5K with a team is a great
way to have fun and keep focused.
Anyone can create a team for Miles for Isles! Seek
out co-workers, family members, neighbors, club
members, friends and classmates. It only takes four
people to make a team. You can choose your own
name and wear your own T-shirts!
Each team member registers for Miles for Isles
individually –just list the name of your team on the
form.
Start early and share training tips. Visit
www.milesforisles.org for a suggested training
schedule for new runners.
There will be awards for the team
that has the fastest average time
and the team that has raised
the most funds for Isles, Inc.