From Dusk to Dark 5K/3K Scream
Saturday, October 26, 2013
Individual Form
RACE:
- Accurately measured 5K; mostly flat with a few rolling hills
- Glow stick lighting
- Portion of route on Constitution Trail
- 5K RACE STARTS AT SUNSET, aprox. 6:15pm
- 5K STROLLER RUNNERS WELCOME, 3K starts shortly after 5K runners
- Multi-age placing
- finish line by lake run club
- free childcare ages 3+ during the race
- Water stop on course
- Kid Scavenger/Challenge for ages 10 and under; starts at 5:45 pm
- All Early Registered Participants will receive a Race T-Shirt
Team Forms On-Line
Brought to you by
INDIVIDUAL REGISTRATION/ENTRY
5K Fee & 3K FEE: $25.00 - nonrefundable $5.00 discount if received by October 14th
Kid SPRINT & ACTIVITIES: $15.00 nonrefundable
$20 include T-shirt, register by October 14th
Mulberry School
1101 Douglas Street
Normal, IL 61761
www.mulberryschool.org
Halloween Party
REFRESHMENTS: Food and Beverage
Entertainment: Live music. trunk n treat, costume contest
CHECK-IN & SAME DAY REGISTRATION: 2:00 p.m. at Mulberry School. Sorry, no
registration after 4:30 p.m.
LAST NAME _________________________________________ FIRST NAME ____________________________________
ADDRESS _______________________________ CITY ________________________ STATE _________ ZIP ______________
E-MAIL _________________________________________ PHONE ___________________ AGE __________ (On October 26, 2013)
BIRTHDATE _______________________ (CIRCLE ONE)
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CIRCLE THE EVENT YOU WILL BE PARTICIPATING IN: 5K
3K Kid Sprint/Games
WILL YOU NEED CHILDCARE DURING THE RACE: YES
If yes what is the child or children’s names and ages:
NO
T-SHIRT SIZE (FOR 5K/3K ONLY):S
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________
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Adult: S
XL Youth: S 5K Run Entry Fee $25
3K Walk Entry Fee $25
Kid Sprint Entry Fee $15 (no T-shirt) $20 , with T-shirt by October 14,
5K early bird discount, see above (-$5)
3K early bird discount, see above (-$5)
TOTAL ENCLOSED - Checks payable to Mulberry School
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Official Race Use Only
Send registration form(s) with payment to: 1101 Douglas Normal, IL 61761
Upon accepting my application and in consideration of allowing me to enter this event, which I agree is at my own
risk and entirely of my own free will I hereby for myself and on behalf of my heirs, executors, administrations, and assigns, waive, release, and discharge Mulberry
School, Town of Normal, race organizers, race volunteers, sponsors, and promoters from any responsibility or liability whatsoever for any losses, injury, or other
damage sustained in any activities during or surrounding the event.
SIGNATURE ___________________________________________ DATE ________________
* PARENT SIGNATURE NEEDED IF UNDER 18
For additional information contact : Mulberry School at 309-862-0510, or visit the website mulberryschool.org.