STAGECOACH

5K

RUN/WALK

MARIGOLD DAYS

Mantorville, MN

Saturday, September 9, 2017

Registration: 7:30 AM Mantor Field

Race start time: 8:30 am

Fees: $15.00

Each participant will receive a T-shirt

Make checks payable to: Marigold Days Committee 5K Run

Name__________________________________Sex_____Age_______

Email

I hereby release the Mantorville, Marigold Days Committee, and any and all sponsors or organizers of this race from responsibility for any injuries or damages I may suffer as a result of my participation in this race. I attest and verify that I am physically fit and have sufficiently trained for this activity by my signature below.

___________________________________________________________________

Signature Date

Co-signature (if under 18) Date

Mail completed form and fee to:

Marigold 5K Run 61923 252nd Ave Mantorville, MN 55955

OR bring completed form with you, the day of the run.

Questions?? Email Clarissa at