Saturday
September 20, 2008
Musser Park
(Next to the Salvation Army,
1000 Oregon St.)
Muscatine, IA
5K & 1 MileRun/Walk
8:00 am
All proceeds to benefit the
Muscatine County
4-H Program.
/
7th Annual Muscatine County 4-H
5K and 1 Mile Run/Walk – September 20, 2008
Registration forms available on-line at:Entry Fee: $15 per entry
Maximum family fee: $45Postmarked September 8 or before
Includes T-shirt
Postmarked September 9 or after
NO T-shirt
Late registrations will be taken on race dayat theMusser Park Shelter (next to the Salvation Army, 1000 Oregon Street.)Muscatine, IA
Registration
Send entry form and fee to:Muscatine County Extension
1514 Isett Ave.
Muscatine, IA 52761
Make checks payable to:
Muscatine County Extension
Check-In
Check-in is atthe Musser Park Shelter(next to the Salvation Army, 1000 Oregon Street, Muscatine, Iowa)
5K & 1-Mile Run & Walk -
6:45 to 7:50 a.m. /
Divisions:
5K Run/Walk
Men and Women Divisions14 & Under40 - 4915 – 1950 - 59
20- 2960 - 69
30 - 3970+
1 Mile Run/Walk
Boys and Girls Division4 years old and older
Awards
- Overall awards for Men’s and Women’s 5K
- Overall awards for Boys and Girls 1 Mile
- First, Second and Third place awards in each division
- All 1-Mile participants will receive ribbons.
- All awards will be handed out following the
1-Mile event.
Muscatine County Extension Office at
563-263-5701 or 1-800-992-0894
REGISTRATION FORM / (Please PRINT) Name ______Age as of 9/20/08 ______Sex _____
Address ______City______State______Zip ______
Phone # ______E-mail: ______
Event: _____ 5K Run/Walk _____ 1 Mile Run/WalkChecks payable to: Muscatine County Extension
Circle T-Shirt Size: Youth: Medium Adult: Small Medium Large X-Large XX-Large
PLEASE register early. NOTE: Those registering after September 8WILL NOT receive a T-shirt.
Waiver: I assume all risks associated with participating in this event including, but not limited to falls, contact with other participants, the effect of the weather, traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I for myself, my executors, administrators, assignees, do hereby release and discharge the Muscatine County Extension Service, 4-H program and Iowa State University, race sponsors and directors for all claims, actions whatsoever, in any manner arising or growing out of my participation in the Muscatine County 4-H Fun Run/Walk.
Signature ______Date ______
(Parent/guardian must sign for participant under 18 years old)