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Kosciukso County 4H 5K Fun Run and Walk
Sat, Apr 2, 2016
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 (mm/dd/yyyy) 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_____________________________________