Husky 5K
June 20, 2009
Fitness Trail Fundraiser 5K Run/Walk
1 Mile Fun Run and Pee Wee Classic
Warsaw, Indiana
AWARDS:
Top Overall Male
Top Overall Female
1st, 2nd, and 3rd in each of the following-
12 and under
13-15
16-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70+
ADDRESS of RACE:
1300 Husky Trail
Warsaw, Indiana 46582
RACE DAY REGISTRATION:
8:00 AM to 9:00 AM
RACE Times:
1 Mile Fun Run @ 9:00 AM
5K @ 9:15 AM (Chip Timed)
Pee Wee @ 10:00 AM
-HUSKY 5K / 1 Mile Fun Run / Pee Wee / Fitness Trail Fundraiser-
Name: _______________________________________ Male: _________ Female: __________ Age on Race Day: ______
Address: _______________________________________________ City: ____________________
State: _____ ZIP: ___________ Email: ________________________________________________________________
Shirt: YOUTH SIZES ____YS ___YM ____YL ADULT SIZES ____AS ___AM ____AL ____AXL ____AXXL
Race: 5K_____ 1 Mile Fun Run _____ Pee Wee (.25 mi.)_____ (Shirts are guaranteed to all who pre-register)
Waiver Statement (must be signed):
I understand that competing in a road race can be a potentially dangerous activity. I verify that I am physically fit and have trained for this competition. I assume all risks associated with running this event including, but not limited to falls, contact with other participants, all risks being known and appreciated by me. Having read this waiver and knowing these I understand in consideration of you accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release The Warsaw Community School District, Harrison Elementary, all sponsors, and officials from any claims of any kind arising out of participation in the above cross country race. I grant full permission to use photo/records of these events. I grant permission for emergency medical treatment for my son/daughter by competent medical personnel on the date.
Signature: ___________________________________________________________ Date: ____________________________
Parents Signature (If under 18 years age): _______________________________________________________________________
We Proudly Thank our Sponsors: