A special thank you to the run sponsors who help - PDF document

SATURDAY JULY 11 , 2015 O ’ HAUSER PARK Co - HOSTED BY SPONSORS A special thank you to the run sponsors who help make the Filthy Fun Kids Run possible. REGISTRATION FORM 2015 Filthy Fun Kids Run (one form per participant) Check One Entry Fees *Age as of day of the run *Registrations must be accepted by 12:00PM on July 10 to qualify for the $20 Entry Fee. Name: ______________________________________________ Birthday: ____________/ _______________/_______________ Email: _______________________________________________ Phone: ______________________________________________ Address: _____________________________________________ City: ________________________ State: _______ Zip: ______ T-Shirt Size (check one): Youth: SM MED LG XL Adult: SM MED LG XL You should be aware that Parks & Recreation programs involve an element of risk or danger for all participants and may cause serious injury, death or property loss. The Town of Menasha Parks & Recreation Department and City of Neenah Parks & Recreation Department does not provide or cover any medical or hospital insurance for participants in our programs. All persons participating in the Filthy Fun Kids Run must provide their own insurance and assume risk for all injuries. I consent to the full use of my child’s image in photos and videos for any legitimate this kind/distance and in any outdoor activity with regards to weather, automobile Please make checks payable and mail to: Neenah Parks & Recreation 211 Walnut Street Neenah, WI 54956 OR (accepted at both locations) Town of Menasha Parks & Recreation 2000 Municipal Drive Neenah, WI 54956 Registration Fee: $ ____________ Date: ________________________ Signature of Parent/Legal Guardian: __________________________ FILTHY FUN KIDS RUN WHEN Saturday * July 11, 2015 7:00AM Registration Ages 11-14: 8:00AM Start 1.5 mile with obstacles Ages 9-10: 8:30AM Start 1.5 mile with obstacles Ages 7-8: 9:00AM Start 1.1 mile with obstacles Ages 4-6: 9:30AM Start .55 mile with obstacles WHERE Event check-in and start at O’Hauser Park South Pavilion, located at: Maps of the course will be provided in all packets. REGISTRATION The Filthy Fun Kids Run is open kids ages 4-14 years old, who are looking for a fun and challenging adventure run/walk. Please complete the attached form and drop off/mail with entry fee to: Town of Menasha Parks & Recreation Department 2000 Municipal Drive Neenah, WI 54956 Please make checks payable to the Town of Menasha or Neenah Parks & Recreation Department 211 Walnut Street Neenah, WI 54956 Please make checks payable to Neenah Park & Rec Online Registration: Registration is also available at www.town-menasha.com or www.neenahgov.org. Register using your online household account. If you don’t have a number for online registration is: 200000-01 . *Registrations will only be accepted the day of the run if openings remain.* Entry Fees: Through June 12 - $15 June 13-July 10* - $20 July 10*-July 11 - $30 *Registrations must be accepted by 12:00PM on July 10 to qualify for the $20 Entry Fee. ENTRY FEE INCLUDES • A Filthy Fun Kid Run headband • Filthy Fun Kid Run t-shirt • The opportunity to participate in a great adventure run/ walk with obstacles! • Post run refreshment vouchers What should I wear? We suggest wearing comfortable clothing and shoes that you don’t mind getting dirty. Costumes are welcome! How dirty will I get? We guarantee participants will get dirty, wet and sweaty. There will be at least one area with sand or mud on each course. Participants will have the opportunity to rinse off at the end of the course. Is the run timed? The event is a challenge, not a race and therefore, it is not a timed run. What is the Weather/Refund Policy? The event will be held rain or shine unless severe weather occurs. In the event of severe weather, the race may be delayed or cancelled. If the race is cancelled, there will be NO refunds. What is the Cancellation Policy? Refunds are not offered for the Filthy Fun Kids Run. Participants should understand and acknowledge that all fees paid in registration for this run are NOT REFUNDABLE FOR ANY REASON, under any circumstances, including but cancellation. FREQUENTLY ASKED ? ’ S RACE PACKET PICK - UP REGISTRATION IS OPEN TO THE FIRST 500 PARTICIPANTS Pre-registered participants may pick up race packets at the O’Hauser Park South Pavilion (1987 O’Leary Rd., Neenah) between 3:00-6:00PM on July 10. contact information City of Neenah Parks and Recreation 920-886-6060 ~ www.neenah.ci.wi.us Town of Menasha Parks and Recreation 920-720-7108 ~ www.town-menasha.com