Run Saturday, June 16, 2012 Registration
Jayhawker Days 5K Walk/Run
Registration Form
Saturday, June 16, 2012
(one entry form per runner, please)
5K COURSE
Registration:
Entry Fee:
1. Mail Registration by June 1, 2012, to: Jayhawker Days 5K Run Attn: Jon Horne P.O. Box 112 Williamsburg, KS 66095 2. Race-day registration at Williamsburg City Hall from 7:00 to 7:30 a.m. Make checks payable to Jayhawker Day Booster Club. Questions? Call Jon Horne @ 785-746-5641
Location & Starting Time Williamsburg Community Library 5K Run begins at 7:30 a.m.
Awards & Prizes Awards will be presented as soon as the results are calculated. Presentations will take place in the Williamsburg City Park on the Grand Bandstand. Awards will be given to 1st, 2nd, & 3rd Place recipients in each age division. 5K Run Age Divisions: 14-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Start at the Williamsburg Community Library look for the sign on the east end of town. From there head east to Colorado Road and turn right. Heading south you will keep running or walking until you reach the turn around point. At turn around point head back north on Colorado Rd take left on Old 50 Hwy and head west back into Williamsburg until you cross the finish line. The course consist of running on an asphalt road with small to medium hills. The terrain has some curves to it.
$25.00 per runner
T-Shirts: T-Shirt Sizes :
□S
□M
□L
Youth Sizes:
□S
□M
□L
□ XL
Total Enclosed $ ___________________ Make checks payable to Jayhawker Day Booster Club. Mail to Jayhawker Day 5K Run, Attn: Jon Horne, P.O. Box 112, Williamsburg, KS 66095
Route
Start and Finish at the Williamsburg Community Library
Name: ___________________________________________ Address: _________________________________________ __________________________________________________ Age: ____________
□ Male □ Female
Daytime Phone: __________________________________ Email: ___________________________________________
WAIVER: I know that running a road race is a hazardous activity. I know that I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official related to my ability to safely complete the run. I assume all risk associated with running this event, including but not limited to: falls, contact with other runners, the effects of the weather, traffic, and the conditions of the course, all such risks being known and appreciated by me. Having red this waiver and knowing these facts and, in consideration of acceptance of my entry, I, for myself and anyone entitled to act on my behalf, waive and release sponsors, their representatives, and successors from all claims and liabilities of any kind arising from my participation in this event, even though that liability may arise out of negligence or carelessness on the part of such persons.
Signature: ________________________________________ Date: ____________________________________________ Emergency Contact: __________________________________________________ Emergency Phone: ________________________________
Race Fans!!!
Jayhawker Days 5K Run
Jayhawker Days
P.O Box 68
Williamsburg, KS 66095
Welcome to
3rd Annual Jayhawker Days 5K Walk/Run Saturday June 16, 2012 8:00 a.m.
Registration Form
Saturday, June 16, 2012
(one entry form per runner, please)
5K COURSE
Registration:
Entry Fee:
1. Mail Registration by June 1, 2012, to: Jayhawker Days 5K Run Attn: Jon Horne P.O. Box 112 Williamsburg, KS 66095 2. Race-day registration at Williamsburg City Hall from 7:00 to 7:30 a.m. Make checks payable to Jayhawker Day Booster Club. Questions? Call Jon Horne @ 785-746-5641
Location & Starting Time Williamsburg Community Library 5K Run begins at 7:30 a.m.
Awards & Prizes Awards will be presented as soon as the results are calculated. Presentations will take place in the Williamsburg City Park on the Grand Bandstand. Awards will be given to 1st, 2nd, & 3rd Place recipients in each age division. 5K Run Age Divisions: 14-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Start at the Williamsburg Community Library look for the sign on the east end of town. From there head east to Colorado Road and turn right. Heading south you will keep running or walking until you reach the turn around point. At turn around point head back north on Colorado Rd take left on Old 50 Hwy and head west back into Williamsburg until you cross the finish line. The course consist of running on an asphalt road with small to medium hills. The terrain has some curves to it.
$25.00 per runner
T-Shirts: T-Shirt Sizes :
□S
□M
□L
Youth Sizes:
□S
□M
□L
□ XL
Total Enclosed $ ___________________ Make checks payable to Jayhawker Day Booster Club. Mail to Jayhawker Day 5K Run, Attn: Jon Horne, P.O. Box 112, Williamsburg, KS 66095
Route
Start and Finish at the Williamsburg Community Library
Name: ___________________________________________ Address: _________________________________________ __________________________________________________ Age: ____________
□ Male □ Female
Daytime Phone: __________________________________ Email: ___________________________________________
WAIVER: I know that running a road race is a hazardous activity. I know that I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official related to my ability to safely complete the run. I assume all risk associated with running this event, including but not limited to: falls, contact with other runners, the effects of the weather, traffic, and the conditions of the course, all such risks being known and appreciated by me. Having red this waiver and knowing these facts and, in consideration of acceptance of my entry, I, for myself and anyone entitled to act on my behalf, waive and release sponsors, their representatives, and successors from all claims and liabilities of any kind arising from my participation in this event, even though that liability may arise out of negligence or carelessness on the part of such persons.
Signature: ________________________________________ Date: ____________________________________________ Emergency Contact: __________________________________________________ Emergency Phone: ________________________________
Race Fans!!!
Jayhawker Days 5K Run
Jayhawker Days
P.O Box 68
Williamsburg, KS 66095
Welcome to
3rd Annual Jayhawker Days 5K Walk/Run Saturday June 16, 2012 8:00 a.m.
