Race information:

Event: 5K Run / 5K Fun WalkStart time:10 amSaturday November 24^th, 2007

Race Day Registration: 8:30 am – 9:30 am near Santa’s house in the park. 

Location:The race will begin and end in Forest Park in Brazil, IN

To guarantee a T-shirt your entry must be postmarked by November 6^th

****We will go regardless of the weather****

Divisions:

Men’s and Women’s Age groups

0-10 yrs11-15 yrs16-20 yrs21-30 yrs31-37 yrs

38-44 yrs45-54 yrs55-60yrs61 + yrsReindeer Division (200 + pounds)

---------------------------------------------------------------------------------------------------------------------------------

Race Day registration is accepted(One person per entry form. This form may be photocopied for additional entries)

OFFICIAL APPLICATION AND RELEASE FORM:

Please check one of the races belowMake checks payable to: Clay County Christmas in the Park8565 N. Co Rd 425W

Brazil, IN 47834

5K Run only_____$10.005K Fun Walk only _____$10.00

5K Run (T-shirt included)_____$15.005K Fun Walk (T-shirt included)____ $15.00

Name: ______________________________________Shirt Size: (Long sleeve t-shirt)

Address: ____________________________________YSYMYLYXLASAMALAXL 

City: _______________________________________AXXL*(*XXL add $1 to entry form)

State: ____________Zip Code: ________________Sex: (circle one)MorF 

Phone: (______) ________________________Age as of race day: _______

EMERGENCY Contact: __________________________________________

In consideration of your accepting my entry, I hereby release, discharge and agree to hold free and harmless the Christmas in the Park Committee, its organizers, sponsors, be they individuals or organizations, singly and collectively and all concerned, from any and all liability for injuries to property or person suffered by me as a result of my taking part in the Christmas in the Park 5K Run/Walk.

By execution of this waiver, I verify that I recognize the difficulties of this event and attest that I am physically fit to participate safely.

IN SIGNING THIS RELEASE, I ACKNOWLEDGE THAT I UNDERSTAND IT’S INTENT.

____________________________________________________________________________

Signature of participant

_____________________________________________________________________________

Signature of parent or guardian if registrant is a minor.(Under 18)