Online Registration 5K/10K WALK/RUN FOR LIFE

April 25th, 2009

Online Registration Is Now Closed

The funds raised from this event will go to the Oconomowoc High School’s student education programs focusing on substance abuse.

More information is available at the Parker’s Place web site at: www.parkersfitness.com

 

REGISTRATION FEES - CHECK ONE:
$20 Adults 18 and over early registration - guaranteed shirt before 3/4/09
$25 Adults 18 and over after 3/4/09
$10 High School Students or 17 and under

DATE: Saturday, April 25th, 2009
WHERE: Oconomowoc High School
TIME: 7:00am-10:30am

IMPORTANT DATES
March 4 Early Registration Deadline for T-Shirt Wearers
April 9-10 Early T-Shirt Pickup at Parker’s Place

 

 

 

 

 

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration.  For online registration a processing fee of $1.00 will be added to the registration fee for 17 and under.  $2.00 will be added to adult registrations.
   
5K WALK/RUN FOR LIFE
  
   Last Name:


   First Name:


        Address:


               City:


             State:


                 Zip:


             Email:


            Phone:


   Pet's Name: (Optional)


       Shirt Size:      


Age Category:      


                Age:


             Event:      
         

INDEMNIFICATION: I know that I should talk to my doctor before taking part in this event if I have any concerns about
my health. I agree that Parker’s Place, Inc. and the Oconomowoc Area School District are not responsible for any problems or
injuries I may have while taking part in this walk. I agree not to bring a claim or lawsuit against Parker’s Place, Inc., the
Oconomowoc Area School District, nor any individual or entity associated with the event. I also agree that I am the only one
responsible for all of my personal items. I also agree to the use of my name and pictures in any broadcast, telecast, webcast or
print media account of this event. In filling out this form, I acknowledge and have read and fully understand my own liability
and do accept restrictions.

          Waiver:      
     

      Signature:       Parent Or Guardian If Under 18
          

 Enter amount below if you would like to make a donation.  Leave blank if you do not wish to make a donation.

Donation Pledge: Please bring donations to event.

 

Online Registration Is Now Closed

 
   
Online Payments
   
          
   

   

For More Information Contact garydsmith@runwalkjog.com    Privacy Policy and Refund Information