IC RUNNING CLUB

We don't run, we just talk about it!

2017

Race Form

15th Annual

5K Run/Walk/1 Mile Fun Run at Mason City Prairie Harvest Days

Sunday, September 17, 2017- 7:30 a.m.

5K Run/Walk/1 Mile Fun Run beginning and ending at the Mason City Park Pavilion.  Water station on the course and refreshments at the end.  Splits will be at the 1, 1.5 and 2 mile marks.

Kids Fun Run will be ran after the 5K race. 

5K run awards for overall male and female winners.  Male & female awards for top three finishers in each age group.  Age groups include:  14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60 & over.

Registration fee for the 5K run/walk and Fun Run includes a specially designed short sleeve t-shirt. Packet pick-up and late registration is on Sunday, September 17, 2017 from 6:30 a.m. to 7:15 a.m. on race day.  Everyone will receive a t-shirt.

5k Run/Walk $15.00 (before September 15) $20.00 (after September 15)

Kids Fun Run $15.00 (before September 15) $20.00 (after September 15)

Make checks payable to IC Running Club

Registration forms and fees can be sent to:

ICO Jim Newell

PO Box 60

Easton Il. 62633 

 

                                                                                                                                                                            

Entry Form & Waiver

I fully understand that my participation in the Prairie Harvest Days 5k Run/Walk, 1 Mile Fun Run could result in serious injury or stress to me.  I therefore fully assume all risks and desire to Participate without regard to those risks.  I waive all claims I may have against Prairie Harvest Days Committee resulting in whole or pare from my participation in Prairie Harvest Days 5K Run/Walk and 1 Mile Fun Run event.

Participant Signature  _________________________________________________

Date______________

(Parent or guardian signature if participant is a minor)

Name _____________________________________________________________

Age on Race Day __________ Male________Female_______

Address ____________________________________________________________

City, Zip ____________________________________________________________

Phone _________________________e-mail________________________________

Check Event:  ______ 5K Run _________Kids 1 Mile Fun Run _______Walk

T-shirt Size:  Youth L,  S,   M,   L,   XL