5K Road and Trail Run

Friends of Jenny Wiley

5K Road and Trail Run

Saturday, June 2nd, 2018 @ 9:00am

REGISTRATION: 7:30am in front of Wilkinson-Stumbo Conference Center, Jenny Wiley State Resort Park.

ENTRY FEES: $20 Pre-registered by May 6th; $25 after & day of the race.

RACE COURSE: 3.1 miles starting in the Wilkinson-Stumbo Conference Center parking area, up May Lodge road passing the lodge and continuing past the cabins out to the end of the pavement at the Lakeshore Trail entrance. Then follow the Lakeshore Trail to the boat dock road and then back to the conference center.

AGE DIVISIONS: Kids 12 and under, 13-19, 20-29, 30-39, 40-49, 50-59, 60 and over.

AWARDS:Awards will be for 1st, 2nd and 3rd females and males in each division. Trophies will be awarded to the 1st, 2nd and 3rd place females and males overall.

DOOR PRIZES AND REFRESHMENTS AFTER THE RACE: A variety of door prizes will be given away after the race. All race participants will be entered into the drawings for the door prizes.

All proceeds will be used in support of Jenny Wiley State Resort Park.

Online Registration at tristateracer.com

Registration Form

Name: ______DOB: ______circle: Male Female

Telephone #: ______

Address: ______

Email: ______

Waiver: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

Signature: ______Date: ______

***The mission of the Friends of Jenny Wiley State is to act as a Citizen Support Organization (CSO) assisting to identify and promote activities to conserve, enhance and interpret the natural, cultural, scenic, historic, educational and recreational resources of Jenny Wiley State Resort Park. We assist the park in achieving its goals of serving visitors and protecting park resources and raise money to provide additional support for park programs.

*please send all forms to FOJW 5K, 109 S Cardinal Drive Prestonsburg, KY 41653

*please make checks payable to Friends of Jenny Wiley, Inc

*Friends of Jenny Wiley, Inc. is a non-profit 501(c)(3) company.