Kosciukso County 4H 5K Fun Run and Walk


Event Date

Sat, Apr 2, 2016


Warsaw, IN

About This Activity

Kosciusko Run for 4-H 5K & Children’s Fun Run
Kosciusko Fairgrounds -- Warsaw, Indiana
Hosted by the Kosciusko 4-H Council
Date: Saturday, April 2, 2016 Time: 9:00 a.m., with registration from 7:45 - 8:45 a.m.
Course: 5K (3.1 miles) course starts at the main entrance of the Kosciusko County Fairgrounds and loops through
Winona Lake. Course is mostly flat and may be viewed at Extension website. Race is timed using the
ULTRA 8 Timing System with disposable tags on bibs.
Children’s Fun Run is a ¼ mile race that will take place at 8:45 a.m. Race will be held in a closed lane of
the fairgrounds drive. Children will run from starting line to fair entrance and back.
Entry Fees: Children’s Fun Run Race Registration - FREE
Individual 5K Pre-Registration -- $15 by March 18, 2016
Individual Regular 5K Registration -- $20 after March 18, 2016
Family 5K Registration -- $40 for up to 4 immediate family members
Short sleeve race t-shirt guaranteed for pre-registered 5K entrants in attendance at the race only.
Family 5K entries received by the pre-registration deadline will receive 2 race shirts.
Race occurs rain or shine. All entries are non-refundable.
5K Age Groups: <9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70+
Fun Run is open to children Pre-K thru 4th Grade.
Awards: Ribbons awarded to top 3 male and female 5K runners in each age group.
Special 4-H-style banners awarded to overall male, female and youth (<14 yrs) 5K runners.
All Children’s Fun Run participants will receive a prize.
Door prizes randomly awarded to participants.
Registration: 7:45 to 8:45 a.m. day of race or pre-register by sending a check & completed registration form to:
Kosciusko Run for 4-H 5K
Purdue University Cooperative Extension Service
202 W. Main Street
Warsaw, IN 46580
(574) 372-2340
*Please make checks payable to Kosciusko 4-H Council
For more information, visit www.runkra.com or extension/purdue.edu/kosciusko
Last Name:_______________________________________ First Name:________________________________
Address: _______ City: _____ State: ZIP:
Email: _______________________________________________ Cell Phone ( )___________________
**Please provide for text race time results. **
Date of Birth: ______________ Age on Race Day: ______ Male Female
Shirt Size: S M L XL XXL (additional $1 fee for XXL)
Read and Sign Release: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and
properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running
in races, including, but not limited to: falls, contact with other participants, the effect of the weather, including high heat and/or humidity or lightning, the
conditions of the road and traffic on the course, all risks being known and appreciated by me. Having read this waiver and knowing the facts and in
consideration of your acceptance of my entry in the race, I, for myself and anyone entitled to act on my behalf, waive and release the directors of this race,
the Kosciusko 4-H Council, KRA, the town of Winona Lake, the County, all sponsors, their representatives and successors, from all claims or liabilities of
any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named
in the waiver. I grant permission to all of the foregoing to any photographs, motion pictures, recording or any other record for legitimate purpose.
Signature ____________________________________    Date_____________________________________

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