5K FUN RUN Event: Fun Run/Walk (this is not a timed event) When: Saturday Oct. 4th Pride Day Time: Start time 8:00 am Registration begins at 7:00 Where: Weleetka FFA Ag Barn West of Town Cost: $15 Registration Fee $27 Registration & Pride Day T-shirt $30 for 2XL or 3XL Contest: oldest runner, youngest runner, largest group, most spirited runner (wear your purple & gold) Registration pick-up & drop off: Med-Econ Drug 311 W. 9th & Weleetka High School or Elementary Office: you can also print a registration form on-line at
www.weleekta.k12.ok.us Sponsor: Weleetka Varsity & Jr. Varsity Cheerleaders Contact: Jessica Sheneman (405) 213-5704 or Ashley Green (918) 813-3145
Weleetka Pride Day 5K Fun Run Registration form Saturday September 27th
Participants Name: ______________________________________ Address: ______________________________________________ Phone Number: __________________ Age: _____________ Entry Fee: $15________ W/Pride Day Shirt: $27 or $30 for 2XL or 3XL _______ Please attach entry fee payment with registration form. Make Checks payable to Weleetka Pride Day.
Shirt Size: circle one YS, YM, YL, S, M, L, XL, 2X, 3X ______________________________________________________ What Kind of Runner are you? Walk_____ jog/walk_____ jog______ run____ Start Times: Walk 8::00 Jog/Walker 8:05 Jog 8:10 Run 8:15 Please arrive at the run by 7:30 to get everyone in place we will start promptly at 8:00 am. Contest will begin at 7:00. Oldest, Youngest, Largest Group (everyone in your group must be dressed the same with more than matching shirts & shorts) most spirited runner. Questions Contact:
_____________________________________________________________ Release/Waiver Please read the following statement carefully. To participate, you must sign and submit this with your registration. I hereby consent and agree to release and hold harmless the below mentioned entities from any and all liability involving, concerning or surrounding “The Weleetka Pride Day 5k Fun Run”. Weleetka Public Schools and/or the Town of Weleetka. Signature: ____________________________________
Date:___________________
Parent Signature if participant is under 18_____________________________________ Date:____________________