If you would like to receive a PDF or Word format of the following information, email me and I will send you one individually.
Galesburg Days 5K/1 Mile Run/Walk 25th Annual
Participants must choose either the 5K or 1 mile distance in which to participate.
DATE: Saturday, September 15th, 2018
TIME: Run/Walk—7:15 AM Registration—6:45 AM
PLACE: The Store (Across from Tank Connection)
ENTRY FEE: Pre-Registration received by 9/11/18 $13.00 (includes T-shirt) $8.00 (does not include T-shirt) Registration received after 9/11/18 or Day of Race $15.00 (includes T-shirt as they are available) $10.00 (does not include T-shirt)
AGE GROUPS: 9 and under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60 and up
AWARDS: The following will be awarded per distance: Medals to top 3 finishers in each age group for men and women Plaque to first place overall for men and women
Please clip and mail to: Nate Clevenger, 485 S 190th, Pittsburg, KS 66762 Phone:(660)651-8826 Or email the following information to email@example.com
Name: _____________________________ Age: _______ Sex: _____
Street Address: _________________________________________
City: _______________________ State: _______ Zip: ____________
Distance of Choice: 5K 1 Mile Email: ___________________
Adult Shirt Size (if receiving one): S M L XL XXL XXXL (add $2 for XXL or XXXL)Youth Shirt Size (if receiving one): S M L
Fee Enclosed $__________ (Make checks payable to: Nate Clevenger)
In consideration for your acceptance of this entry, I hereby, for myself and my heirs, waive all rights and claims for damages I may have against the City of Galesburg, Galesburg Days Committee, race personnel or volunteers with this event, for any injuries suffered by me in connection with said event. I understand I must be in good health to participate. I also give permission for the free use of my name and pictures in any media account of this event.
Parent or Guardian (if under 18): _______________________________