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
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