KIDS’ 100 METER DASH (10 & under)
& 1 MILE FUN RUN
Registration Day of Race from 6:30 am to 9:00 am Please
sign me up for:
1 Mile Fun Run: $15 (Includes T-shirt) Kids’ 100 Meter
Dash: $15 (Includes T-shirt)
Kids’ 100 Meter Dash: $5 (No T-shirt)
KIDS’ 100 METER DASH & 1 MILE FUN RUN REGISTRATION
Participant Information
Last Name _______________________________________________________
_________________________________________
First Name
Address ______________________________________________________________ City ___________________________ Zip
____________
Email Address ____________________________________________________________________ Phone
_____________________________
Age on Race Day ____________
Please check:
Male
Female
Youth Shirt Sizes: (Shirt size cannot be guaranteed for registrations made after 7/23/16.)
Youth XS
Youth Small
Youth Medium
Youth Large
Adult XS
I fully understand that my participation may involve risk of serious injury or death. I warrant that I am in good health and have no physical condition that would prevent me from participating in this event or activity; I assume any and all risks of personal injuries to myself,
including medical or hospital bills, permanent or partial disability, death, and damage to my property, caused by or arising from my participation in this event or activity; I covenant not to sue or present any claim for personal injury, property damage or wrongful death against
Sun Prairie Public Library Foundation, City of Sun Prairie, their officers, agents or employees, and agents attributable to my participation in the event or activity; I release any and all entities who are in any way connected to the event including any volunteers assisting with the
event from any liability, loss, damage, claim, demand or cause of action against them arising from or attributable to my participation in the event.
I understand that Book’n It Run uses photography for publicity purposes. I hereby grand permission to Book’n It Run to photograph me and to use photographs of me/my child for future Book’n It Run publications, multimedia presentations, and publicity material. I understand
that this use applies to segments of announcements, informational film clips, photographs, social media or other uses necessary to provide information or advertisement for Book’n It Run.
Signature of Parent/Guardian:
__________________________________________________________________________________________________________________________________________________________________________________________________
“The Sun Prairie Area School District has neither reviewed nor approved the program, personnel, or activities announced in this flyer. Permission to distribute this flyer must not be considered a recommendation or endorsement by the school district.”
Visit www.booknitrun.com for more information.
Registration Day of Race from 6:30 am to 9:00 am
Please sign me up for:
1 Mile Fun Run: $15 (Includes T-shirt) Kids’ 100 Meter
Dash: $15 (Includes T-shirt)
Kids’ 100 Meter Dash: $5 (No T-shirt)
KIDS’ 100 METER DASH & 1 MILE FUN RUN REGISTRATION
Participant Information
Last Name _______________________________________________________
_________________________________________
First Name
Address ______________________________________________________________ City ___________________________ Zip
____________
Email Address ____________________________________________________________________ Phone
_____________________________
Age on Race Day ____________
Please check:
Male
Female
Youth Shirt Sizes: (Shirt size cannot be guaranteed for registrations made after 7/23/16.)
Youth XS
Youth Small
Youth Medium
Youth Large
Adult XS
I fully understand that my participation may involve risk of serious injury or death. I warrant that I am in good health and have no physical condition that would prevent me from participating in this event or activity; I assume any and all risks of personal injuries to myself,
including medical or hospital bills, permanent or partial disability, death, and damage to my property, caused by or arising from my participation in this event or activity; I covenant not to sue or present any claim for personal injury, property damage or wrongful death against
Sun Prairie Public Library Foundation, City of Sun Prairie, their officers, agents or employees, and agents attributable to my participation in the event or activity; I release any and all entities who are in any way connected to the event including any volunteers assisting with the
event from any liability, loss, damage, claim, demand or cause of action against them arising from or attributable to my participation in the event.
I understand that Book’n It Run uses photography for publicity purposes. I hereby grand permission to Book’n It Run to photograph me and to use photographs of me/my child for future Book’n It Run publications, multimedia presentations, and publicity material. I understand
that this use applies to segments of announcements, informational film clips, photographs, social media or other uses necessary to provide information or advertisement for Book’n It Run.
Signature
of
Parent/Guardian:
__________________________________________________________________________________________________________________________________________________________________________________________________ “The Sun Prairie Area School
District has neither reviewed nor approved the program, personnel, or activities announced in this flyer. Permission to distribute this flyer must not be considered a recommendation or endorsement by the school district.”
Visit www.booknitrun.com for more information.