35th Annual Indian River
Kiwanis SummerFest
5-Kilometer Fun Run (3.1 miles)
Saturday, July 18, 2015
Time:
8:00am (Registration starts at 7:00am)
Place:
Indian River Lumbar Yard, across from the Town Hall
Entry Fee: $20.00 - checks payable to Indian River Kiwanis
Course:
Race starts at Club Road & Marathon, on the Rail Trail
Awards:
Trophy & awards will be presented immediately after last finisher. First
over all trophy for male and female. Medals for the first three male and
female runners in each age group. Hats to be presented to all runners who
enter. Prizes, door prizes and giveaways.
5K/3.1 Miles
Name _____________
_____________ Age ______
Address_______
________ Male ___
Female___
City, State, Zip _____
__________ _________________
Phone ________________
Please mail registration form and check or money order made payable to: Indian River Kiwanis,
P.O. Box 753, Indian River, MI 49749
AGE GROUP:
12 and Under ______
13 to 18
19 to 29
30 to 39
40 to 49
50 to 59
60 to 69
70 & up
In consideration of your accepting this form, I hereby for myself, my heirs,
executors and administrators waive and release all rights and claims for damages I may
have against the Kiwanis Club of Indian River, the Indian River Chamber of Commerce,
its agents, representatives, successors and assigns for any and all
injuries, suffered by me at said Run, or which may arise out of traveling to,
participating in and returning from these events.
Runner’s Signature:
Date:
Parent or Guardians signature if runner under the age of 18
____________________________________________________________