3rdANNUAL “LAKE RACE 5K & WALK/RUN”

Date: June 3th, 2016

Registration: 1: ONLINE REGISTRATION AVAILABLE AT:

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2. Manual Registration: See attached form or download form at

Click on Events & Schedule. Print form and mail.

3. Race Day: 7:00 AM

Location: Beaver’s at the Dam

Time: 8:00 AM

Fees: Pre-registered Adults $25, Age 18-6 $20, Under 5 or in a stroller, FREE

Late after May 3rd, 2017 and Race Day Registrations: Adults $30, Age 18-6, $25

Course: Start at Beaver’s, proceed below dam on Valley Rd, to JJ Twigs, down 54 (The Strip) back to Beaver’s. (Subject to approval by City of Lake Ozark).

T-Shirts: Each pre-registered participant will receive a custom designed, commemorative logo T-shirt. Sizes S-M-L-XL-XXL-XXXL. No T-shirt is guaranteed for late or race day registrants.

ActNow Promotions.

Awards: Awards will be presented to the top male and female overall winners, male and female 1st, 2nd, and 3rd place winners in the following age divisions: 6-10, 11-15, 16-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70- and over.

There will be a cash bar available at the finish line!!

Proceeds: Proceeds from this event will be added to the Lake Race 2017 donation and presented to various charitable organizations throughout the Lake at the discretion of the Lake Race board of directors.

Sponsorships: Any business or individuals interested in sponsoring this event, please download sponsorship information at

Event will take place rain or shine

Contact Info: Stephanie Klautzer 573-746-1150

LAKE RACE 5K WALK/RUN

Must be RECEIVED by June 1, 2017. Complete this form in its entirety and return to:

Stephanie Klautzer

1155 Beacon Pointe Circle

Lake Ozark, MO 65049

FIRST NAME:______

LAST NAME: ______

GENDER: MALE/FEMALE (CIRCLE ONE) BIRTHDAY:______AGE ON RACE DAY:______

EMAIL:______

PHONE:______CELL PHONE:______Cell Carrier:______

ADDRESS: ______

CITY:______STATE:______ZIP CODE:______

EMERGENCY CONTACT: ______

EMERGENCY CONTACT PHONE #:______

Register each participant individually.

Pre-Registered: Adult $25_____ Age 18-6 $20 ______

Late After May 3rd, 2017 Adult $30_____ Age 18-6 $25 ______

T Shirt Size: S M L XL XXL XXL (circle one)

Make Checks/Money Orders Payable to: Lake Race

Waiver:

I know that the above event is a potentially hazardous activity. I agree not to enter and participate unless I am medically able and properly trained. I agree to abide by any decision of any race official as to my ability to safely complete theevent. I assume all risks with participating in this event. Having read this waiver and know these fact, I, for myself and anyone entitled to act in my behalf, waive and release, Lake Race Committee, Stephanie Klautzer, City of Lake Ozark, Camden County, race officials, volunteers, and all sponsors from all claims or liabilities of any kind arising out of my participation in this even. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose without remuneration.

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Participant or Parent/Guardian Signature for those under 18 years of age Date