Wild in Wilton

5k Fun Run/Walk  

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:______________