Luke’s Run

Race Time: June 24th, 2017 at 8am
Location: St. Joseph by-the-Sea High School 5150 Hylan Blvd Staten Island, NY 10312

To register for the race, fill out the form below and click submit. Then, click the “ADD TO CART” button below and donate your race enrollment donation of $25. Thanks!!

Email Address:
Last Name:
First Name:
 Male Female
Phone:
Address:
City:
State:
Zip:
Are You In High School?:
-Grade Level:
-Are You In I.S./Grammar?:
Age (for bib category!):
Entry Type:
T-shirt gender:
T-Shirt Size:

Liability Waiver and Release
Upon acceptance of my entry, I, for myself, my heirs & assigns, hereby release the sponsors & officials of the Luke M. Parlatore Memorial 3 Mile Run and the Luke M. Parlatore Scholarship Foundation from any liability arising from illness, injury or death I may suffer as a result of my participation in this event. I attest that I am physically fit & have sufficiently trained for this event & I am aware that my participation could, in some circumstances, result in physical injury. I give permission for free use of my name and picture in any broadcast, telecast or written account of this event. I also understand that the entry fee is non-refundable.

I am of 18 years old and I agree to these Terms and Conditions OR
I am under 18 years old and my parents and/or legal guardians agree to these Terms and Conditions.
I agree!

Once you click the green button above, your application has been electronically submitted to the foundation.
You can pay online by clicking “Add To Cart” below!

 




 

 

OR

if you’d like to do things the old fashioned way…

Download our Luke’s Race Registration Form  fill it out and mail it to

The Luke M. Parlatore Scholarship Foundation
1320 Bay Street
Staten Island, NY 10305-3102

1320 Bay Street, SI, New York 10305-3102 • p:718.448.5746 • f:718.448.7655