Our Lady of the Light Catholic Church
FIESTA DE LA LUZ ENTRY FORM – 5K Run August 25, 2018
Waiver (MUST BE SIGNED)
In consideration of your accepting this entry, I, the above signed, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.
Shirt Size (Please Pick One)
After Submitting your entry form you will be redirected to a page for Payment.
Pastor: Fr. Theophine Okafor
Deacon: Andy Weiss
We are located at: 4 La Luz Rd, La Luz, New Mexico Office phone: 575-434-9460
Our mailing address is: P. O. Box 236, La Luz, New Mexico 88337
Our Lady of the Light Catholic Church ©2019