Owatonna Degner Regional Airport 5K or 1 Mile Fun Run th Date/Time: September 10 , 2016 Registration: 5:00pm-6:30pm 1 Mile start time: 7:15pm 5K start time: 7:30pm Location: Owatonna Degner Regional Airport 3400 W Frontage Road Owatonna, MN 55060 Entry Fee: $20 in advance/ $25 day of race (5K) $5 (1 mile fun run) Check payable to: John Klatt Airshows, Inc T-Shirt guaranteed if registered by Sept. 1 Contact: Danielle Wavrin Phone: (507)214-3403 Email: danielle@johnklattairshows.com Website: www.johnklattairshows.com PLEASE PRINT CLEARLY (one entry per participant) GENDER (circle): M F Age:________ T-Shirt Size (Circle One) *Children will not receive shirt for fun run NAME:______________________________________________ ADDRESS: ___________________________________________ Adult: S Children: XS M L S XL XXL M L 3XL 4XL 5XL CITY/STATE/ZIPCODE:________________________________________________________________________________ PHONE (XXX)XXX-XXXX:_________________________________ EMAIL: ____________________________________ Waiver of Liability: In consideration of my entry being accepted, I waive any and all claims for myself, my administrators, and my heirs against all officials, sponsors, and organizations connected with the Owatonna Runway Run for injury or illness that may directly or indirectly result from my participation in this event. I attest that I have full knowledge of the risks involved in this event. Note: For the safety of all participants: Strollers, skateboards, scooters, or skates of any kind are prohibited in this event. SIGNATURE: ________________________________________________ DATE:_____________________________ (Parent or guardian if under the age of 18)