Children’s Fun Run! Run for Their Lives Registration form: Benefiting the Humane Society of Marathon County Child’s Name:______________________________________________________________________________________________ Child’s Age:___________________________________ Gender: (Circle One) Male / Female (Recommended Ages 3 - 9 ) Younger than 4 must be accompanied by guardian or older sibling Parent/Guardian Name:______________________________________________________________________________________ Address:________________________________________________City:_________________State:_____________Zip:_________ Phone:_________________________________________________E-mail:_____________________________________________ Please include my e-mail in future correspondence regarding the race and other fundraising events from the Humane Society of Marathon County: Yes / No I do hereby release and hold harmless the Humane Society of Marathon County 5K Run/Fun Walk, including all organizers, sponsors, volunteers, and property owners from any and all liability resulting from my participation in this event for any reason. I understand that May 30th 2015 Doepke Park –Rib Mountain Time: Registration 8:30 to 9:30 am (please allow time for shuttle) 10:00 am Children’s Fun Run start Course: Participants will run one loop around Doepke Park (about 1K) escorted by HSMC Mascot Journey Dog! Fun Run/Walk Registration alternatives: printable registration brochure at www.hsmcrunfortheirlives.com I, or my dependent, is participating in said run at our own risk. I understand that my registration fee is nonrefundable if the event is cancelled due to inclement weather. Guardian Signature (If under 18): ________________________________________________________________________________________ Registration fee: Only $10.00! Register before May 8th to guarantee t-shirt availability T-shirts included with registration fee! Shirt Size: (Circle One) Youth: 2T 3T 4T S Adult: S M L Additional information: Parking available at South Mountain Elementary, 5400 Bittersweet Road, Wausau WI with a shuttle available Prior to the race watch 5K participants finish as they “Run for Their Lives” accompanied by their favorite furry friend! Awards: Everyone is a winner! Parents/guardians are responsible for the supervision of own children Run/Walk participants who register early will be provided a short sleeved t-shirt as well as post-race refreshments *Register before May 8th to guarantee T-shirt availability M L XL XL Please send registration form and checks to: This is not a Wausau School District sponsored activity and the opinions expressed are not necessarily those of the school district or its personnel. Humane Society of Marathon County 7001 Packer Drive Wausau, WI 54401 P: 715-845-2810 www.catsndogs.org At HSMC, we believe in the humane treatment of all living creatures. Cruelty to animals is often the precursor to later violent crimes and abuse against people. Cruelty, in all its ugly forms, pulls from the same well. Please help us build a humane community for all species and residents!