4th Annual 2008 Joan Wilson 5k Entry Form

Name ____________________________________

Address  _________________________________

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Phone  ____________________________________

Email  _____________________________________

Age (on race day)  ____________________________

Male  _____             Female_____

Adult T-shirt size     S      M       L        XL

Youth  T-shirt size    S      M       L        XL

Entry Fee: $10.00 if postmarked by April 8

$15.00 on race day, with T-shirt (while supplies last)

$5.00 on race day , no T-shirt

Send check and completed form to: 

Joan Wilson 5K

c/o Connie Engebretson

503 12th Ave SW

Le Mars, Iowa 51031-2905

In consideration of the acceptance of my entry, I for myself, my executers and assignees, do release and discharge all race organizers and sponsors from all claims of damages, actions and causes of actions, whatsoever, in any manner arising or growing out of my participations in said athletic event.l I hereby attest that I am physically fit and able to participate in the Joan Wilson Memorial 5K Run/Walk.

Signature  _______________________________

Parent or Guardian's signature if 18 or under 

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Race Survey

Interest has been expressed in adding a 10K run to our event. We would appreciate your input regarding this possibility. If both a 5K (3.1 mile) and 10K (6.2 mile) distance were offered, I would most likely participate in the: 

 ____   5K                ______   10K

Any other suggestions to improve this event would be appreciated.

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