Race Day Registration & Packet Pickup 8 AM Race Start
Race Day Registration & Packet Pickup
Begins 7 am at WEIMAR SOCCER PARK 601 E. Converse (East Converse Street North of Parkview Manor)
8 AM Race Start
Runner:___________________________________ Race Day Age:________ Circle: Female Male
Ages 13 & over - $30
Ages 12 & under - $15
(with registration by 4.28.17 - $35 after 4.28.17) Entry fee includes t-shirt, refreshments & 1st, 2nd, 3rd medals (shirts guaranteed only with pre-registration by April 28th)
Shirt Size: (please circle) Youth Small Youth Medium Adult sizes: s
m
l
Youth Large xl
xxl
Address:___________________________________ Age Groups: 12 & under 30-39
40-49
50-59
13-19
20-29
60 & over
Entry forms & fees can be dropped off at or mailed to:
Weimar Chamber of Commerce 100 w. Grange 1st Texas Home Health 121 East Main St.
Youens & Duchicela Clinic 402 Youens Dr. Checks may be made payable to: 2017 Gedenke Event Proceeds to purchase bleachers for the Weimar Soccer Fields
Registration forms available at www.weimartx.org
Event Coordinators: Youens & Duchicela Clinic Prosperity Bank 1st Texas Home Health Hospice of South Texas Jenny Grohmann, PT Milton Koller Weimar Chamber of Commerce
City: ________________ Tx: ________ Zip:________ Phone:__________________ Email:___________________________________ Entry fee is non-refundable. In consideration of the acceptance of this entry form, I hearby release the sponsors, officials, owners of the facilities for this race and any or all groups, people or facilities connected with the 2017 Gedenke Family Fitness Fun Run/Walk for any and all injuries by me at said race. I further certify that I am physically fit and able to participate in the run/walk. This is not a certified 5K event.
X_____________________________________________ Signature Participant or adult signature if participant is a minor
Weimar Gedenke Festival 2017 - Weimar Chamber of Commerce PO Box 90 - Weimar, Tx. 78962
Begins 7 am at WEIMAR SOCCER PARK 601 E. Converse (East Converse Street North of Parkview Manor)
8 AM Race Start
Runner:___________________________________ Race Day Age:________ Circle: Female Male
Ages 13 & over - $30
Ages 12 & under - $15
(with registration by 4.28.17 - $35 after 4.28.17) Entry fee includes t-shirt, refreshments & 1st, 2nd, 3rd medals (shirts guaranteed only with pre-registration by April 28th)
Shirt Size: (please circle) Youth Small Youth Medium Adult sizes: s
m
l
Youth Large xl
xxl
Address:___________________________________ Age Groups: 12 & under 30-39
40-49
50-59
13-19
20-29
60 & over
Entry forms & fees can be dropped off at or mailed to:
Weimar Chamber of Commerce 100 w. Grange 1st Texas Home Health 121 East Main St.
Youens & Duchicela Clinic 402 Youens Dr. Checks may be made payable to: 2017 Gedenke Event Proceeds to purchase bleachers for the Weimar Soccer Fields
Registration forms available at www.weimartx.org
Event Coordinators: Youens & Duchicela Clinic Prosperity Bank 1st Texas Home Health Hospice of South Texas Jenny Grohmann, PT Milton Koller Weimar Chamber of Commerce
City: ________________ Tx: ________ Zip:________ Phone:__________________ Email:___________________________________ Entry fee is non-refundable. In consideration of the acceptance of this entry form, I hearby release the sponsors, officials, owners of the facilities for this race and any or all groups, people or facilities connected with the 2017 Gedenke Family Fitness Fun Run/Walk for any and all injuries by me at said race. I further certify that I am physically fit and able to participate in the run/walk. This is not a certified 5K event.
X_____________________________________________ Signature Participant or adult signature if participant is a minor
Weimar Gedenke Festival 2017 - Weimar Chamber of Commerce PO Box 90 - Weimar, Tx. 78962
