Joggin’ With the Juniors
5K Registration
Please print clearly. One entry form per participant (form may be reproduced).
Entry fees are non-refundable.
Name: ________________________________________
Age on Race Day: _______________
Address: _____________________________________
City/St/Zip: __________________________________
Phone: _______________________________________
Email: ________________________________________
XXL
Event (circle one)
5K Run/Walk
JOGGIN’ WITH THE JUNIORS
CHS CLASS of 2016 PROM FUNDRAISER
SATURDAY, OCTOBER 11, 2014
Gender: M / F
T-shirt Size:
Youth:
YS YM YL
Adult:
S M L XL
JOIN US FOR THE 1ST ANNUAL
1 Mile Run/Walk
In consideration of my entry, I intend to be legally bound for my heirs, my
administrators, my executors, and myself, waive and release forever discharge any
and all rights and claims which I may hereafter accrue to the sponsors and officials
described in this entry form, and Colby Public Schools or their respective officers,
agents, representatives, successors, and/or assigns while participating in this event,
traveling to or returning from this event.
Signature
Under 18, signature of parent or legal guardian
REGISTRATION: 8:00 AM @ COLBY HIGH SCHOOL
5K RUN/WALK BEGINS @ 8:30 AM
1 MILE WALK/RUN @ 8:40 AM
PRIZES WILL BE AWARDED TO THE TOP FINISHERS IN THE FOLLOWING
CATEGORIES:
GRADES K-5,
GRADES 6-8,
GRADES 9-12
AGES 19-30,
AGES 31-45,
AGES 46+
ENTRY FEE
EARLY BIRD ENTRY: includes T-shirt (by September 19):
$20
Students EARLY BIRD Entry: $15
RACE DAY ENTRY (ALL AGES): $25
Mail or deliver completed registration form & entry fee to:
Colby High School—1890 S Franklin, Colby KS 67701
Make checks payable to Colby High School: memo Prom 5K
All proceeds will benefit the 2015 Prom: April 11, 2015