PERSIMMON 5K WALK-RUN-KID’S RACES-FORMS

PERSIMMON 5K WALK-RUN-KID’S RACES:

Persimmon 5K Walk/ Run Kid’s Races

Saturday,  September 29, 2018

 Registration: 7:30 am

5K Starts: 8:30 am

(Kid’s Races begin after completion of 5K)

 Mitchell High School

1000 West Bishop Boulevard Mitchell, IN 47446  

Race Details

5K Walk/Run through Mitchell city streets.  The course is mostly flat.

5k Walk/Run is $20 early registration

 $23 race day. Deadline is 9/27 for pre-reg

Other free events: 1 mile Fun Run (any age), 800 m run (K-3rd), 200 m run (Pre K)

Kid’s race begin at approximately 10am

Please register for all kid’s events on race day.

 All races start in front of Mitchell High School.                                        Mitchell is about 30 miles south of Bloomington on Hwy 37.

T-shirts to all 5K participants!

 Awards to top 3 in each age group for Run

Awards to top 5 Male and Female Walkers.

Questions?                                                                                                                        Call Dave or Carol Mikulsky 812-276-9463

Email: cjmik5@gmail.com

REGISTER ONLINE!!! www.mag7raceseries.com

Registration

Name: ________________________

Age as of 9/29/18: ________  Sex: ________                                                       

Address: _________________________________

City/State/Zip:__________________________ 

County: __________________________________ 

Phone: ___________________________________ 

Email: ____________________________________

Event: 5KRun _________  5K Walk________

T-shirts for all 5K participants (adult sizes only)

S _____   M _____ L _____ XL _____

Please register for all kid’s events on race day.

I hereby waive and release any and all rights and claims for injury or damage against the sponsors and officials of the Persimmon Run or any injuries suffered by me or my child in said event.  I attest and verify that I am physically fit and have sufficiently trained for this event.

 Signature: ____________________________________________________

(Parent or guardian must sign if participant is under 18 years of age)

 Date: _______________________________

5K Walk/Run is $20 Pre-Reg, and $23 on Race Day

 

Make checks payable to: Persimmon 5K Mail to: Dave & Carol Mikulsky

825 Hancock Avenue,  Mitchell IN 47446

*********************************************************************

For Persimmon Festival Use Only:

Date Received: _______________Amount Received: _________________

Sponsored by the Mitchell Chamber of Commerce. Festival dates September 21st-28th 2019

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