Norman County Fair 5K Run/Walk

Norman County Fair

 5K Run/Walk

7:00 PM ~ Thursday ~ June 20, 2013

Ada-Borup HS Track ~ $15 

*Pre-Registration closes Friday, June 7^th.

(T-Shirts are guaranteed for all pre-registered individuals.)

 *Packet pick-up and race day registration will be available on Thursday, June 20^th from 6:00-6:50 p.m. at the Ada-Borup HS Track.

*Medal to top male and female finisher in 5K.

 

Submit Registration and Payment to:          (Please make checks payable to

NC 5K, Nikki Gullingsrud                                   Norman County Fair)       

608 3^rd Ave E

Ada, MN  56510        

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ENTRY FORM FOR ALL RACES

EVENT ENTERED:  5K ($15)

Name: FIRST                                     LAST:                                              

Address:                                                                                                     

City:                                 State:                             ZIP                    

Email:  __________________________________

Gender: Male         Female                   Age on Race Day:            

Shirt Size (circle one):  Youth:  Medium        Large

Adult: Small           Medium                  Large           XL

 

Waiver:  In consideration of the acceptance of this entry, I hereby wave any and all rights, claims, and damages I may have against Norman County Fair Run, the sponsors, coordination groups, City of Ada, and any individuals associated with said event.  Also, none of the above is responsible for neither the loss of personal items nor any aggravation in connection with said event.  I also give permission for the free use of my name and picture in any broadcast, telecast or print media account of the event.  In filling out this form, I acknowledge I have read and fully understand my own liability and do accept the restrictions.   

 

Signature:                                                             Date: