Contact Cardinal Services or email: leslie.petko@cardinalservices.org
“Life-Beat 5k Walk/Run”
Kosciusko Fairgrounds
Warsaw, Indiana
Date: Saturday, October 2, 2010
Time: Start for Run/ Walk - 9:00 a.m.
Entry Fee: 5K Run/Walk Pre-Registration - $12. by August 13th and $15 by September 18th ,2010
Age Group: 5 Year Age Groups and special trophies for Masters 40 +
Race Packet Pick-up for Pre-registered Participants & Late Registration
Saturday, October 2, 2010 ~ 7:45 a.m. – 8:45 a.m.
At: Kosciusko Fairgrounds
Warsaw, Indiana
(Showers Available @ YMCA across the street)
For Information call: (574) 268-1236 or if Long Distance, 888-268-1236
First Name:_____________________________ Last Name: _________________________________________
Address: ____________________________________________________________________________________________
City: _______________________________ State: ________ Zip: ________________ Phone: ________________________
Age on Race Day: ______Birth date: _____/_____/_____ Sex: M / F T-Shirt Size: S M L XL XXL
Long Sleeve T-shirt size and availability for race day guaranteed for pre-registered runners only.
$12. by August 13th, 2010
$15. by September 18th 2010
$ 20. thereafter and on race day
E-mail Address________________________________________________
Total amount enclosed: $______________
MAKE CHECK PAYABLE TO “K R A”
Send Registration to:
Kosciusko Runners’ Association
“Life-Beat 5k Walk/Run ”
P.O Box 222
Warsaw, IN 46581-0222
Waiver:
In consideration of the acceptance of my entry, I for myself, my executors, administrators, and assignees, do hereby discharge the City of Warsaw and the Town of Winona Lake, and all other sponsors and persons connected with this event for all claims of damages, demands, actions what so ever in any manner arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event, and I am physically fit and sufficiently trained to participate in this event.
THIS RACE IS TIMED BY AccuChips USA ~ Any not returned will be assessed $15 !
Signature: | | Date: | |
Parent’s Signature: | |
(Parent’s signature required if participant is under 18 years old) |
+ + + + + + + + + +
“Run For Others ~ 5k”
Winona Lake Park
Winona Lake, Indiana
Date: Saturday, July 24th , 2010
Time: Start for Run/ Walk - 8:00 a.m.
Entry Fee: 5K Run/Walk Pre-Registration - $12.received by July 9th ,2010 and $15 thereafter.
Age Group: 5 Year Age Groups and special for Overall Male & Female
Race Packet Pick-up for Pre-registered Participants & Late Registration
Saturday, July 24th , 2010 ~ 6:30 a.m. – 7:45 a.m. SHARP!
At: Winona Lake Park ~ Winona Lake, IN
For Information call: (574) 268-1236 or if Long Distance, 888-268-1236
- - - - - - - - - - - - - - - - - - --- - First Name:________________________________ Last Name____________________________________
Address: ____________________________________________________________________________________________
City: _______________________________ State: ________ Zip: ________________ Phone: ________________________
Age on Race Day: ______Birth date: _____/_____/_____ Gender: M / F T-Shirt Size: S M L XL XXL
T-shirt size and availability for race day guaranteed for pre-registered runners only.
$12. by July 9th, 2010
$15. by July 10th 2010 and,
thereafter and on race day E-mail Address________________________________________________
Total amount enclosed: $______________
MAKE CHECK PAYABLE TO “K R A”
Send Registration to:
Kosciusko Runners’ Association
“Run For Others 5k ”
P.O Box 222
Warsaw, IN 46581-0222
Waiver:
In consideration of the acceptance of my entry, I for myself, my executors, administrators, and assignees, do hereby discharge the Town of Winona Lake, and all other sponsors and persons connected with this event for all claims of damages, demands, actions what so ever in any manner arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event, and I am physically fit and sufficiently trained to participate in this event.
THIS RACE IS TIMED using AccuChips USA ~ Any not returned will be assessed $25 !
Signature: | | Date: | |
Parent’s Signature: | |
(Parent’s signature required if participant is under 18 years old)
|
+ + + + +
This race is timed by ACCU-CHIP Timing System
Owned by Kosciusko Runners’ Association