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|Wild in Wilton Fun Walk/Run:-|
|Distance: Run 3.1 Miles|
Wild in Wilton
June 8, 2013
20 miles north of Bismarck on Highway 83
Where: Registration, opening ceremonies, & start at Wilton football field
When: Saturday, June 8, 2013. Registration 8:15-8:45 a.m. 9:00 Start
What: Fundraiser for Wilton Park Board playgrounds. Two-hour time limit. Participants still on the course after 10:30 a.m. will not be counted, but may proceed at their own risk.
Cost: $20 postmarked by May 25, 2013 for preregistration (Family Max $40). Make checks payable to Wilton Park Board. T-shirts are guaranteed only to those prepaid registrants.
Awards: The awards ceremony will be held at the football field following the race. Awards will be presented to the top female & male 19 & over, and top female & male 19 & under.
Forms: Send entry form and fees to Cyndy Sondrol, PO Box 14 Wilton ND 58579
For more information contact Cyndy Sondrol 701-220-4083 [email protected]
Name: __________________________ Phone: ______________
Address: ________________________ Age on day of race: _______
5K Run: _____ 5K Walk: _____
T-shirt Size (please circle size): Youth: M L Adult: S M L XL 2XL
WILD IN WILTON WAIVER AND RELEASE FORM
(All participants must read and sign this release/parents or guardian if participant is under 18.)
In consideration of your accepting this entry, I hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims, for damages I may have against the race coordinators, landowners whose land over which the trail passes and co-sponsors, their agents, representatives, successors and assigners for any and all injuries by me at the meet. I warrant that I have no known physical defects that might cause running or walking to be injurious to me, that I am physically fit and sufficiently trained for this run/walk.
Signature:_____________________________Date release signed:______________