DO YOU DARE? ` 2015 Door County YMCA Labor Day Run & Duathlon Saturday, September 5, 2015 Duathlon (Ages 15 & up) $38 before July 15 $43 before Aug. 15 $48 Aug. 16 through race day $63 for pairs registration 5k Run/Walk $15 Youth (Ages 8-17) through race day $22 before July 15 $27 before Aug. 15 $32 Aug. 16 through race day 1/2 Mile Kid’s Run Ages 1 - 8 $10 through race day ONLINE REGISTRATION AVAILABLE AT www.doorcountyymca.org/events Schedule of Events Packet Pickup available Friday, August 29, 6:00 am - 7:30 pm, or on race day 7:00 am Race Day Registration 8:00 am Duathlon All events start and finish at the Northern Door Program Center. Please park at Gibraltar High School. Bike helmets required for duathlon & headphones prohibited for duathlon. Must be present to receive medals. 9:45 am 5k Run/Walk 10:15 am Kid’s Run Make Checks Payable to Door County YMCA and return to: Door County YMCA - Labor Day Run 3866 Gibraltar Road, Fish Creek, WI 54212 • Phone (920) 868-3660 Fax (920) 868-9970 www.doorcountyymca.org Name: r Male r Female Date of Birth: Age on Race Day Address: City: State: Zip: Email Address: Phone: Race: r 5K Run/Walk r 1/2 Mile Kid’s Run r Duathlon r Duathlon Pairs Relay T-Shirt Size: r Youth S rYouth M rYouth L r Adult S r Adult M r Adult L r Adult XL r Adult XXL Emergency Contact: Phone: Fee Enclosed: r $______________ Please sign waiver of liability on reverse side. A signed waiver is required of each race participant. ***Please sign waiver of liability below. A signed waiver is required of each race participant. Waiver of Liability Liability: I understand the physical activities in which I, my child, and/or my team participate(s) in with the Door County YMCA include, but may not be limited to running/walking and biking. I agree to assume all liability and release the Door County YMCA and any other associated parties for any liability for the risk of injury, illness or death on account of my and/ or my team’s presence in the athletic competition whether caused by negligence of the Door County YMCA or another person on the premise or at the sponsored activity. Photo/Talent Release: I hereby irrevocably release, consent and authorize the Door County YMCA and its agents to use my and/or my teams photograph/likeness/voice, as it pertains to my and/or my team’s participation with the YMCA, in any manner for promotional efforts without expectation or right to any reimbursement in connection with its use. Race cancelled due to severe weather. No refunds. Participant/Parent Signature: Date:
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