Boyland Honda - Kenosha Literacy Council
Transcription
Boyland Honda - Kenosha Literacy Council
Co-Hosted By: What date will you be picking up your packet? ____Wednesday, July 30th • 8a.m.-5p.m. Kenosha Area Business Alliance 5500-6th Avenue Suite 200 Questions? Contact Us. Kenosha Literacy Council ____Thursday, July 31st • 9a.m.-6p.m. Kenosha Literacy Council 2419-63rd Street www.KenoshaLit.org 262.654.7323 ____Thursday, July 31st • 4p.m.-7p.m. Salomon Sport - Prime Outlets 11211-120th Avenue Pleasant Prairie www.YLinkKenosha.com 262.605.1100 ____Friday, August 1st • 8a.m.-5p.m. LMI Packaging Solutions 8911-102nd Street Pleasant Prairie Mail or drop off registration to: Kenosha Literacy Council 2419-63rd Street Kenosha, WI 53143 Make check payable to: “Kenosha Literacy Council” Cash or check ONLY accepted when registering by mail or in person. Y-Link Sponsors Boyland Honda Saturday, August 2, 2014 9:30a.m. Run/Walk Starts Navy Memorial Park 54th Street & 6th Avenue Kenosha, WI Registration Individual Family $35.00 $70.00 Includes 2 adults and children under 12. All participants who register by July 24th receive a high-quality t-shirt and goody bag! Packet Pick Up Mail In Registration Participants must pick up their event packets in advance during one of the following times Name:_ ____________________________ Address:_ __________________________ City:__________ State: ______________ Zip: _______________________________ Email: _____________________________ Phone: _ ___________________________ Age: ________ Gender:_ _____________ Wednesday, July 30th • 8a.m.-5p.m. Kenosha Area Business Alliance 5500-6th Avenue Suite 200 Thursday, July 31st • 9a.m.-6p.m. Kenosha Literacy Council 2419-63rd Street Thursday, July 31st • 4p.m.-7p.m. Salomon Sport - Prime Outlets 11211-120th Avenue Pleasant Prairie Friday, August 1st • 8a.m.-5p.m. LMI Packaging Solutions 8911-102nd Street Pleasant Prairie There will be no registration or packets pick-up the day of the race. Participants must pick up their packets in advance. Two Easy Ways to Register 1. Online with credit card at: www.KenoshaLit.org or www.YLinkKenosha.com 2. Mail registration form and check to: Kenosha Literacy Council 2419-63rd Street Kenosha, WI 53143 5K Course The start/finish line will be located at the northwest corner of 54th Street and 6th Avenue. The 5K course routes through Harbor Park and along the beautiful Kenosha Lakefront. A course map is available online at www.KenoshaLit.org or www.YLinkKenosha.com. Event (Circle One) 5K Run 5K Walk T-shirt Size (Circle One) YM YL S M L XL XXL ____ I am registering as an individual $35 ____ I am registering as a family $70 2nd Adult Name ������������������� 2nd Adult T-shirt Size (Circle One) YM YL S M L XL XXL Children’s Names, Ages, T-shirt Size ��������������������������������� ��������������������������������� ��������������������������������� ��������������������������������� Waiver and Release – I and my heirs hereby release Kenosha Literacy Council and Y-Link, its employees, and any other people officially connected with this event from any and all liability for damage to or loss of personal property, sickness, or injury from whatever source, legal entanglements, imprisonment, death, or loss of money, which might occur while participating in this event. Specifically, I release said persons from any liability of responsibility for my physical condition, for the condition or selection of the course route and for the possibilities of sprained muscles and ligaments, broken bones, and fatigue. I also attest and verify that I am physically fit to participate in this activity. Signature: ������������������������� Date:����������������������������� Legal guardian signature if a minor: ��������������������������������� Please fill out the reverse side to complete registration