Entry Form - Pikes Peak Road Runners

All proceeds go to the
Woodland Park Parks
and Recreation Youth
Programs
Special Thanks to our Sponsors
27th Annual
Mayor’s Cup
Kids Fun Run: This free event is for the kids
that are not quite ready for the 10K or 5K race.
All participants receive a number and ribbon.
10K/5K Footrace: Runners who like a
challenge will enjoy this unique course at an
altitude of 8,500 feet through Woodland Park.
Run on paved road through the rolling wooded
countryside along Rampart Range Road,
Kelley’s Road and Centennial Trail.
5K Team Entries: Each team will consist of
four 5K runners with at least one female.
Placement will be determined as a cross country
team.
5K Walk: This popular event is for both the
serious and casual walkers. All walkers will be
timed.
Awards: The best overall male and female
racer in the 10K and 5K division will receive a
trophy. Medals will be presented for the top
female and male in the following age groups for
both the 10K and 5K: 9 & under; 10-14; 15-19;
20-29; 30-39; 40-49; 50-59; 60-69; 70 & up
Woodland Park, CO
Saturday, August 13th
10K Run, 5K Run, 5K Walk & Kids Fun Run
All State – The Malone Insurance Agency
Dinosaur Resource Center
Newmont CC&V
Pikes Peak Credit Union
SERC of Woodland Park, LLC
Peoples Bank
Home Town Garage
North East Teller County Fire Protection
Pikes Peak Road Runners
Teller County Search & Rescue
Woodland Park Police Department
10K/5K Entry Form
Race (circle one):
10K
5K Run
5K Walk
Kids Fun Run Entry Form (FREE)
5K Team
Name: _____________________________________ Age: ________
Team Name: ____________________________________________________________
Name: _____________________________________ Age: ________
Name: _________________________________________________________________
Name: _____________________________________ Age: ________
Mailing Address: ________________________________________________________
Name: _____________________________________ Age: ________
City/State/Zip: _________________________________________________________
Day Phone: _____________________________________________________________
Parent/Guardian Information:
Evening Phone: _________________________________________________________
Name: __________________________________________________
Date of Birth: ________________
Mailing Address: __________________________________________
Sex: Male / Female
Email: _________________________________________________________________
City/State/Zip: ___________________________________________
T-shirt Size (Adult Size):
Day Phone: ______________________________________________
S
M
L
XL
(Shirt sizes issued first come first serve)
Method of Payment:
 Check (please make checks payable to City of Woodland Park)
 Cash
 Credit Card (We accept Visa, MasterCard & Discover)
CC #
Exp. Date
Signature
V-Code
Additional Family Member Discount $5.00
Race Day Registration Fee $25.00
(NO DISCOUNT ON RACE DAY)
Email: __________________________________________________
Please see that children are supervised by a parent or guardian
at all times while participating in this event.
Children are not to be left unsupervised at any time!
Bib Number
(Office Use Only)
Waiver & Release
I knowingly and at my own risk, and in consideration of my acceptance as a participant, hereby forever waive and release any and all claims for injuries or illness that I may
incur as a direct or indirect result of my participation in this race against the Pikes Peak Road Runners, City of Woodland Park, Teller County, any sponsor or any other
group or individual assisting or associated with this race. None of the above are responsible for the loss of any personal item(s). I have been warned that this race is ran at
an elevation of 8,000 feet or above, that the temperature can range from 10 to 80 degrees, that the surface of the roads and trails varies greatly and could be covered with
snow, ice or mud and that there are vehicles, dogs, etc. on the course. I acknowledge that I have read, understand, and accept my responsibility and liability for my safety
and health during the Woodland Park Mayor’s Cup 10K/5K Race, 5K Fun Walk and Kids Fun Run. No headphones, pets, baby joggers, bicycles, scooters,
skateboards, or rollerblades are allowed in the 5K10K/5K Run. Strollers & pets on a leash allowed for 5K Fun Walk ONLY and must start at the back of the
race.
Signature (Parent/Guardian if under 18)
Date
Register Online at www.wpparksandrecreation.org
Contact Us
City of Woodland Park
Parks and Recreation
204 W. South Ave.
PO Box 9007
Woodland Park, CO 80866
719-687-5225
[email protected]
Visit us on the Web:
www.city-woodlandpark.org