mountain goat - Kennekuk Road Runners
Transcription
mountain goat - Kennekuk Road Runners
A Kennekuk Road Runner Event 30th Annual MOUNTAIN GOAT Hill Runs & Walk Benny Branson Memorial 4.4 Run Saturday, March 19, 2016 - 11:00 a.m. LOCATION Kickapoo State Recreation Area west of Danville, IL. COURSE The races are run on asphalt roads past woods and ponds. Each loop is out and back with 3 large uphills and 3 large downhills. ≥ 2.2 MILE WALK Awards to all finishers given as you finish. Please no running! PRICES Entries Postmarked by 3/5/16 $20 w/shirt $12 no shirt Entries Postmarked AFTER 3/5/16 $15 no shirt 4.4 Mile Run $25 w/shirt $15 no shirt $20 no shirt 8.8 Mile Run $30 w/shirt $20 no shirt $25 no shirt RACE 2.2 Mile Walk F O O R P ≥ 4.4 MILE RUN This run is in memory of Benny Branson! Awards to top 25 women and top 25 men! Given as you finish. ≥ 8.8 MILE RUN Beautiful awards to first 150 finishers. Given as you finish! You gotta be TUFF to handle The Goat 8.8 with 12 uphills and 12 downhills! “It isn’t bragging if you’ve done it!” REASONS TO RUN/WALK THE GOAT: 1. See if you are in shape after the winter. 2. Enjoy the first weekend of spring. 3. See how out of shape you are after the winter! 4. Super spring marathon training. 5. It is not the usual sissy 5k that everyone can do. 6. It is a Kennekuk event so you know you get your money’s worth. 7. The usual KRR after race party! SPECIAL NOTE Because of insurance, the following are not allowed: No dogs in or near race area No rollerblades or skates No headsets, No baby strollers NO BANDITS! PARTY We will eat & party at Turtle Run Banquet Center inside or outside in the beautiful beer garden. Chicken sandwich and veggie burgers with snacks and sides included for $10. Free Miller Lite and a surprise beer plus Pepsi. Music provided. FOR MORE INFORMATION Missy Holst: mholst3 @ icloud.com Email: krr@kennekuk.com Website: www.kennekuk.com Online Registration: www.active.com About Benny Branson: Benny was a KRR member who enjoyed life and was a joy to be around. Being a KRR member was very special to Benny and we will continue to remember him through the Mt. Goat 4.4 Mile Run! “If it was easy everyone would do it!” Midwest. • Classy awards to all finishers his event possible without support of our sponsors! Special awards to top 50the men & 25 women. s going to is• not Special awards to every 27th finisher - GIVEN AT Last year This event not possible the support of our sponsors! THE PARTY! igh of 15! thout the is support of ourwithout sponsors! This event is not possible witho Walk-In’s Welcome ponsors! & the event • Great party at Wanda & Spanky’s with free snacks, This event is not possible without the support of our sponsors! This event is not possible without the support of o 446-1922 without the support our sponsors! beer,ofpop & the usual wonderful meal for just $6. gree wind Missy Holst Let’s Review T from Spanky Bill infortheyour listening• & deep mud •unMusic Insurance and Financial Review is Sr. a great way to make Loan Originator Cindy NelsonAn the best course of its&kind Midwest. Classy Owner/Stylist awards to all finishers sure you have the coverage you need for your current E. Liberty Lane • Classy awards to all finishers un the best course of322 its kind in the Midwest. dancing pleasure. ave lots of •Don’t AT lifestyle and a comfortable future. Call me to schedule one wait to see what the weather is going to • Special awards to top 50 men & 25 women. Classy awards to all finishers Midwest. Don’t wait to see what the weather is going to • Special awards to top 50 men & 25 women. s, Danville, IL 61832 today. Special Siberian at50 the Days our Host cause you Midwest and it’smen January! Last year Hotel. awards to every finisher - GIVEN AT Specialthe awards torate top & Inn 25(217) women. s going to ••be—It’s Special awards to every27th 27th finisher - GIVEN AT be—It’s the Midwest and it’s January! LastSpecial year GOLF & BANQUET CENTER 442-3320 Missy Holst Alan Puzey ks, Let’s Review Call 217-443-6600. Get a room so you can party late. THE PARTY! it was sunny and cold with a low of 4 and a high of 15! This event is not possible without the support of our sponsors! was sunny and cold withtoisaAnevery low of 4 and a high of 15! THE PARTY! Special awards 27th finisher GIVEN AT !&Last ityear This event not possible without the support of our sponsors! 205 S Main Insurance and Financial isdrifts a great wayevent to make• Great party at Wanda & Spanky’s with free snacks, Sr. Loan Originator weReview had a blizzard with Review 10 footat & the • we Purchase onesponsors! ofIn with a1999 kind Clothing our Missy Fairmount, IL 61841 Let’s This event is not possible sure 10 youSiberian have the coverage you need for yourcost. current Thanks to the following member sponsors: 1999 hadof aPARTY! blizzard foot drifts &hadthe event •Holst Great party at &Wanda &wonderful Spanky’s snacks, without the support of ou THE high ithout the support our e& ofIn15! pop the usual meal with for justfree $6. 217-733-2154 stillAn took place. Past events minus 20Lake degree wind Insurance and Financial Review is a great way to make The Mingo Keg Killers lifestyle and a comfortable future. Call me to schedule one beer, Let’s Review Sr. Loan Originator Many choices. AT THE PARTY ONLY! rness Trail sure you have the coverage you needrain, for your current • Music fromusual Spanky & Bill for your listening & $6. chill, freezing rain, snow, heavy ankle deepbeer, mud pop An Insurance and Financial Review still took Past events had minus 20 degree wind & the wonderful meal for just • place. Great party atRex Wanda & Spanky’s with free snacks, &ne today. l. the event Piercy Mike Lindemann sure you have the coverage youLe ne lifestyle and a comfortable future. Call me to schedule one E. Liberty Lane • Prize drawings &usual 50/50 drawings. dancing pleasure. & Bill for322your two days in the 60’s. So register early, save of lifestyle and a comfortable future. 2el. Alan Puzey chill, freezing heavy rain, ankle deep • lots Music from Spanky listening beer, rain, pop &snow, theand wonderful meal formud justbecause $6. egree wind An today. e. Missy Holst IL 61832 today. Review & • Special Siberian rate at the Days InnDanville, ourLet’s Host Hotel. money & don’t worry about the weather you “Will run for beer.....Once a year!” 205 S Main su Logansport Paul &GOLFPenny 322 E. Liberty Puzey & BANQUET CENTER (217) 442-3320 te. and two•indays inMidwest. the 60’s. early, lots of dancing pleasure. Music from Spanky Bill for your listening & mud t.deep An Insurance Financial Review is Sr. a great way to make Alan Puzey Fairmount, ILsave 61841 eing of its kind thesponsors: • register Classy awards to finishers Call 217-443-6600. Get a room soSpinner you can party late.andLane willSo have a& funAlan day of Howlers running andall partying. Loan Originator member life 205 S Main 205 S Main 217-733-2154 sure you cost. have the coverage you need for your current Mingo Keg Killers Danville, IL 61832 st. • Purchase one of a kind Siberian Clothing at our 322 E. Liberty Lane Fairmount, IL 61841 Fairmount, IL 61841 tod Here is what to expect this year! money & don’t worry about the weather because you • Special Siberian rate at the Days Inn our Host Hotel. dancing pleasure. ave lots of Thanks to the following member sponsors: wing member sponsors: possible without the support of our sponsors! what the weather is going to • Special awards to top 50 men & 25 women. lifestyle and a comfortable future. Call me to schedule one 217-733-2154 The Lake Mingo Keg Killers e Mingo Keg Killers Many choices. THE PARTY ONLY! Mike Lindemann • A greatand day 217-733-2154 ofpartying. running & fun on the Wilderness Trail 217-443-6600. GOLF & AT BANQUET CENTER (217) 442-3320 Danville, IL 61832 today. will have a fun day of running Call Get a room so you can party late. • Special Siberian rate at the Days Inn our Host Hotel. ecause you Rex Piercy Mike Lindemann and it’sMike January! Last year in Kickapoo Special to every 27th finisher GIVEN AT • Prize-drawings & 50/50 drawings. Lindemann Stateawards Park. restbeer.....Once a Penny year!” GOLF & BANQUET CENTER (217) 442-3320 “Will runatforour beer.....Once a Penny year!” Spinner Alan Puzey Purchase one ofLogansport aThanks kind Siberian Clothing cost. Call 217-443-6600. Get a room sosponsors! you can party •late. Paul & Spinner Here is what to expect this year! Howlers Paul &member a year!” to the following sponsors: TOM’S GARAGE hrisabeer.....Once low of 4 and a high of 15! THE PARTY! not possible without the support of our 205 S Main Paul &Purchase Penny Spinner The Lake Mingo Keg Killers un the cost. best course of its AT kindTHE in the Midwest. • Classy awards to all finishers Many choices. PARTY ONLY! • one of a kind Siberian Clothing at our Fairmount, IL 61841 • A great day of running & fun on the Wilderness Trail to the following member sponsors: with 10 foot drifts & the event Thanks •TheGreat party at Wanda & Spanky’s with free snacks, 90 Western Ave. Lake Mingo Keg Killers 217-733-2154 Rex Piercy Mike Don’t wait to see what the weather is going to • Special awards to top 50 men Lindeman & 25 women. The Lake Mingo Keg Killers • Prize drawings & 50/50 drawings. Many choices. PARTY ONLY! in Kickapoo State Park.AT THE rness ts hadTrail minus 20 degree wind beer, pop & the usual wonderful meal for just $6. Thanks to Tracy Branson Susie Danner RE/MAX 2000 Danville, Illinois be—It’s the Midwest Mike and it’s January! Last year to every 27th finisher - GIVE Rex Piercy Lindemann “Will Special run forawards beer.....Once a Penny year!” Let’s Review “Will run for beer.....Once a year!” Prizedeep drawings drawings. Logansport Howlers Paul & Spin TOM’S GARAGE 497-7874 917 N Walnut heavy rain, •ankle mud & •50/50 Music from itSpanky & and Bill for your listening &aEd Nedra & Tilley for their continued support. An Insurance and Financial Review is GARAGE Official Use Only wasTOM’S sunny cold with a low of 4 and high of 15! THE PARTY! This event is not possible without the support of our sponsors! “Will run for beer.....Once a year!” 442-8385 Broker/Owner Danville, IL 61832 621 Logan Avenue • Danville, IL 61832 sure you have the coverage you need Logansport Howlers Paul & Penny Spinner Susie Danner RE/MAX 2000 90 Western Ave. E. 10 Liberty So register early, save lots of dancing pleasure. 90we Western Ave.322 In 1999 had a blizzard with foot Lane drifts & the event • Great party at Wanda Spanky’s withfuture. free Ca sn Chris 431-8711 a—comfortable 497-7874 917 Griffin/Agent N lifestyle Walnut& and Official Use Only The Lake Mingo Keg Killers Member Sponsors Susie Danner RE/MAX 2000you • Special Siberian Danville, IL 61832 Broker/Owner Pete IL 61832 Logan Susie Danner RE/MAX 2000 Danville, Illinois today. Goodwin/Agent — 442-8711 Susiethe Danner RE/MAX 2000 out weather because at the Days Inn ourhad Host Hotel. still rate took place. Past events minus 20 degree wind beer, pop & theDanville, usual wonderful meal for621just $ Danville, Illinois THANKS TO OUR WONDERFUL MEMBER SPONSORS! Chris 497-7874 917NGlenn NWalnut Walnut 497-7874 917 NDERFUL MEMBER SPONSORS! 497-7874 917 N Walnut Ruth & Rodden GOLF & BANQUET CENTER (217) 442-3320 First Name Last Name Danner RE/MAX 2000OUR Official Use Only Pete Go Thanks to the following member sponsors: Alan Puzey Official Use Only THANKS TO WONDERFUL MEMBE ning and“Will partying. Call 217-443-6600. Get a442-8385 room so you can party chill, freezing snow, heavy rain,late. ankle deepSusie mud • Music from Spanky & Bill for your listeni 442-8385 Broker/Owner Danville, 61832 Logan Avenue •rain, Danville, IL 61832 Broker/Owner Danville, ILIL61832 621 621 Logan Avenue • Danville, IL 61832 Broker/Owner Danville, IL 61832 run for beer.....Once a year!” 497-7874 205 S Main First Name Last Name 917 N Walnut Paul & Penny Spinner Ken Bodine & Lance Bovard Amber &Lindemann Jason Crawfor Griffin /Agent — Family 431-8711 ance Bovard Amber & Jason 322 E. Liberty Broker/Owner Danville, IL 61832 Chris Griffin/Agent —in431-8711 TOM’S GARAGE and days the 60’s. So register lots of pleasure. Rexsave Piercy Mike •Crawford Purchase one ofChris atwo kind Siberian Clothing at our early, cost. Fairmount, IL 61841 pect this year! Ken Bodinedancing & Family Lance Bovard Am or more information Thanks to the following member sponsors: Susie Danner RE/MAX 2000— 442-8711 RE/MAX 2000 RE/MAX 2000 Pete Goodwin/Agent following member sponsors: Pete Goodwin/Agent — 442-8711 ollowing member sponsors: For more information KS TO OUR WONDERFUL MEMBER SPONSORS! KS TO OUR WONDERFUL MEMBER SPONSORS! 217-733-2154 The Lake Mingo Keg Killers Danville, IL 6H 497-7874 DC FITNESS money & don’t worry about the weather because you • Special Siberian rate at the Days Inn our Host Robinson Chiropractic, Ltd. Many choices. AT THE PARTY ONLY! ERFUL MEMBER SPONSORS! 90 Western Ave. Logansport Howlers Paul & Penny Spinner THANKS TO OUR WONDERFUL MEMBER SPONSORS! Susie Danner RE/MAX 2000 & fun on the Wilderness Trail 917 Walnut 917 NNWalnut kuk.com or Email: krr@kennekuk.com Web Site: www.kennekuk.com or Email: krr@kennekuk.com Dave & Sheryl Krohne Robinson Chi Dave & Sheryl Krohne Robinson Chiropractic, Ltd. Street Street GOLF & BANQUET CENTER (217) 442-33 HEALTH ISyou Danville,IL IL 61832 61832 Rex Piercy Mike Danville, Mike Lindemann will have alink fun day of running and partying. CallLindemann 217-443-6600. Get a room can partT 917 N so Walnut Mike Lindemann •Bovard Prize drawings &Amber 50/50 drawings. Online on KRR siteAmber at www.kennekuk.com Thanks to the 497-7874 followingDanville, member sponsors: Susie Danner RE/MAX 2000 .& Family Bovard Amber & Jason Crawford Bodine & Familyregistration Lance Bovard & Jasonmember Crawford Illinois & Family Lance & Jason Crawford Official Crawford Use Only kce on KRR web site atLance www.kennekuk.com Thanks toweb the following sponsors: Bovard Amber &Ken Jason Broker/Owner Danville, IL 61832 THE FIRST WEALTH • Purchase one of a kind Siberian Clothing at our “Will run for beer.....Once a year!” 497-7874 917 N Walnut Ruth & Glenn Rodden Here is what to expect this year! DC FITNESS Thanks to the follo 1 form per person — photocopies OK Dave & Logansport Sheryl Krohne Robinson Chiropractic, Ltd. ers Paul & Penny Spinner DC FITNESS Howlers Paul Penny Spinner Official Only Official Use Only& City Official U Thanks toUse the following member sponsors: 442-8385 rs Paul & Penny Spinner lers Dave & Sheryl Sheryl Krohne Robinson Chiropractic, Ltd. (217) 446-7867 Ruth &onGlenn The La Thanks to Tracy Branson State Zip Broker/Owner Danville, ILRodden 61832 Avenue •form Danville, IL—61832 Lake Mingo 2010 Postmarked by621 June Logan 4, AT 2010 1PARTY per person photocopies OK ave & Krohne Robinson Chiropractic, Ltd. SPONSORS! Many choices. THE ONLY! HEALTH IS 2011 Siberian Express Entry Form 1 form per person — photocopies OK • A great day of running & fun the Wilderness Trail Robinson Chiropractic, Ltd. Susie Danner RE/MAX 2000 Official Use Only HEALTH IS to the following member City Thanks sponsors: Ruth & Glenn Rodden Penny & Paul Spinner Frank Y THANKS TO OUR WONDER Chris Griffin/Agent — 431-8711 anks to the following member sponsors: State Zip Rex Piercy Official Use OnlyTilley Thanks to the following member sponsors: Lake Mingo 2010 Postmarked by June 4, 2010 1 form per person — photocopies OK THE FIRST WEALTH Nedra & Ed for their continued suppor Sex e 1 form nks to the following member sponsors: • Prize drawings & 50/50 drawings. per person — photocopies OK 497-7874 917for N Walnut in2010 Kickapoo State Park. Thanks to Nedra & Ed Tilley their continued su First Name Last Name THE FIRST WEALTH Susie Danner RE/MAX 2000 Pete Goodwin/Agent — 442-8711 THANKS TO OUR WONDERFUL MEMBER SPONSORS! Ruth & Glenn Rodden Penny & Paul Spinner Frank Young Official Use Only First Name Last Name Keg Killers Lake Mingo 2010 Postmarked by June 4, 1 form per person — photocopies OK First Name Last Name Rex Piercy Mike Lindemann year!” Gender Birth Date (MM/DD/YY) KRR Member (217) 446-7867 Ruth & Glenn Rodden & Jason Crawford Broker/OwnerThanks Danville,to IL 61832 “Will run Tracy Branson Entry Fee: KRR subtract $1.00 Official Use Only Official Use Only Thanks to the following member sponsors: 497-7874 917 N Walnut (217) Ruth &following Glenn Rodden Logansport Howlers First Name LastLogansport Name446-7867 Ken Bodine Family Lance B hanks toby the member Thanks to& the following 5K member sponsors: Howlers Paul & Penny Spinner Stateper sponsors: Zip— photocopies Postmarked Junefollowing 4, 2010 1 form person OK more Walk (No shirts race day) sup For information hanks to the member sponsors: Broker/Owner Danville, IL 61832 O Susie Danner & RE/MAX 2000 Nedra Ed Tilley for their continued State Zip Sex First Name Last Name Birthdate (MM/DD/YY) Se Age/Race Day First Name Last Name orm per person — photocopies OK Last Name xRodden Piercy Lindemann Postmarked by JunePenny 4,Birth 2010 & 1 formMike per person — photocopies OK Ruth & Glenn Rodden Penny & Paul Spinner Frank Gender Date (MM/DD/YY) KRR Member nOnce Paul Spinner Frank Young 497-7874 actic, Ltd. Ken Bodine & Family Lance Bovard Amber & Jason Crawfo a year!” No Shirt (by 4/9/10) $10 Y 2014 ENTRY FORM THANKS TOStreet OUR WONDERFUL MEMBER SPONSORS! Entry $1.00& Sheryl StreetFee: KRR subtract or more information Rodden Penny & Paul Spinner Frank Young Susie Danner RE/MAX 2000 Web Site: www.kennekuk.com or Email: krr@kennekuk.com Dave Krohne Email Address (Please printBranson clearly) member Street Thanks to Nedra & Ed Tilley for their continued support. Thanks to Tracy The Lake Mingo Keg Killers Thanks to the following sponsors: WithFITNESS Shirt (by 4/9/10) $15 9 ansport Howlers Paul & Penny497-7874 Spinner DC Sex Birthdate (MM/DD/YY) DERFUL MEMBER SPONSORS! Last Online Name Thanks to Tracy Branson No shirts race day) 5K Walk (Day Official Use Only ekuk.com or krr@kennekuk.com Age/Race Street Dave & Sheryl Krohne Robinson Chiropractic, Ltd. registration link KRR web site at www.kennekuk.com Thanks to the following member Nedra & EdFirst Tilley for their continued support. Thanks toEmail: Branson After 4/9/10 & Race Day $12sp Street Sex on Name Last NameFrank Fee: KRR subtract $1.00 Ken &Entry Family Lance Bovard Amber & Crawford State Bodine Zip Tracy Heavyweight KRR Member SexJason Last Name HEALTH IS Official Use Only Ruth & Glenn Rodden Penny & Paul Spinner Young Susie Danner RE/MAX 2000 anks to the following member sponsors: D race day)Zip 10K Run (No shirts No 4/9/10) $10 City KRR State Entry Fee: subtract $1.00 Nedra & Ed Tilley for their continued sup 2014 ENTRY FORM CityShirt (by State “Will run for beer.....Once a year!” k on KRR web site at www.kennekuk.com Thanks to the following member sponsors: Birthdate (MM/DD/YY) No shirts race day ) 5K Walk ( Ag Street Official Use Only Ruth & Glenn Rodden ce Bovard Amber & Jason Crawford First Name Last Name Ed Tilley for their continued support. Official Use Only THE FIRST WEALTH anks to theAddress following member sponsors: 917 N Walnut Email (Please clearly) Official Use(byOnly No Shirt 4/9/10) $15 &print Sheryl KrohneFrank YoungRobinson Chiropractic, Ltd. 497-7874 Rodden Penny & Paul Spinner Thanks toDave Tracy Branson R HAIR EXPRESS R alan.puzey@ countryfinancial.com 062013-00704AC alan.puzey@ countryfinancial.com R Thanks to Tracy Branson Nedra & Ed Tilley for their continued support. alan.puzey@ countryfinancial.com 062013-00704AC 062013-00704AC alan.puzey@ countryfinancial.com 062013-00704AC racy Branson Tracy Branson their support. their continued continued support. Thanks to the following member sponsors: Thanks to Tracy Branson Rex Thanks Piercy to Tracy Mike Lindemann Branson Nedra & Ed Tilley for their continued sup Logansport Howlers Paul & support. Penny Spinner Nedra & Ed Tilley for their continued Broker/Owner alan.puzey@ countryfinancial.com 062 062013-00704AC Susie Danner 917 N Walnut Danville, IL 61832 497-7874 Broker/Owner RE/MAX 2000 917 N Walnut Danville, IL 61832 F O alan.puzey@ countryfinancial.com Thanks to the following member sp Thanks to Tracymember Branson Thanks to the following sponsors: Rex Piercy Nedra & Ed Tilley for their continued support. sto to Tracy Tracy Branson Thanks toRex Nedra & EdThanks Tilley for their support.Mike Li to Tracy Branson Branson Piercy Mike continued Lindemann Thanks to Tracy Branson Logansport Howlers O R P 062013-00704AC Paul & Pen for their their continued support. Tilley for continued support. Nedra &&Ed their continued support. yyTilley for continued support. Logansport Howlers Paul & Penny Spinner for their their continued support. Nedra EdTilley Tilley for for their continued support. Thanks to 917 N Walnut Danville, IL 61832 Broker/Owner 917 N Walnut Danville, IL 61832 Thanks to Tracy Branson Official Only & Ed Tilley foUAp Use4/9/10) Only Nedra City Use Only WithOfficial Shirt (by Official UseUse Only ) support. 5KShirt Walk ( Thanks toby the following membe Official No $10 Ed Tilley forfor their continued Official Thanks to$15 Tracy Branson State 621 Logan Birthdate (217) 446-7867 Ruth & Glenn Rodden Street LakeBranson Mingo 2010 Postmarked June 4, 2010 1 form 2015 ENTRY FORM Rodden Penny & Paul Spinner Frank Young Thanks to Tracy 2011 Siberian Express Entry 1Use form per(MM/DD/YY) person — photocopies OK to Robinson Chiropractic, Ltd. Birthdate (MM/DD/YY) & Ed Tilley their continued support. Official Only Thanks the following member sponsors: No Shirt (by 4/9/10) Form $10 City After 4/9/10 & Race Day $12 With $15 Official Use Only Thanks to the following member sponsors: Chris Gr First Name Last Name Ruth & Glenn Rodden Penny & Paul Spin Birthdate (MM/DD/YY) Age/Race Day Thanks to Branson State Zip— photocopies OK 5KTracy Lake Mingo 2010 Postmarked by 4, 2010 1Use form perPaul person Thanks to Tracy Official Only Thanks toOfficial theLast following member sponsors: formFirst per person OK Susie Danner RE/MAX 2000 Ruthto &June Glenn Rodden Penny & Spinner Frank Young Pete Goo Nedra & Ed Tilley for their continu Sexphotocopies Thanks the following member sponsors: After 4/9/10 Race Day $12 4/9/10) $15 & WithBranson Shirt &(by Use Only ast1Name 10K Run ( No shirts race day ) THANKS TO OUR WONDERFUL MEMBE State Name Name— Nedra & Ed Tilley for their continued support. Ruth Glenn Rodden Penny & Paul Spinner Frank Young City Thanks to Nedra & Ed Tilley for their co State Zip Heavyweight K 10K497-7874 Thanks to Tracy Branson Official Use Only First Last Name Name Thanks the following member sponsors: Name Last Name City Firstto Name Last Name Heavyweight Rex Piercy Mike Lindemann First Name Last 10K Run ( Name Gender Birth Date (MM/DD/YY) KRR Member Nedra & Ed Tilley for their continued support. dName Tilley for their continued support. After 4/9/10 & State Race Day)Zip $12 State Fee: Zip st NoFirst Shirt (by 4/9/10)Branson $15 Thanks to Tracy Br Entry K to Nedra & Ed Tilley for their continued support. Thanks to Tracy Last Thanks Name State Zip 15K Heavyweight Rex Piercy Mike Lindemann S WONDERFUL MEMBER SPONSORS! First Name Last Name $15 No Shirt Last Namefor exTilley Piercy Mike Lindemann Thanks to the following member Logansport Howlers Paul & Penny Spinner Gender Birth Date (MM/DD/YY) KRR Member 10K Run ( ) Susie Danner Ken Bodine & Family Lance Bovard Am d their continued support. Make checks payable to: Thanks to th Official Use Only State Zip (by 4/9/10) $20 With Shirt Thanks to Tracy Branson Street Heavyweight KRR Member THA Shirt Size Entry Fee: KRR subtract $1.00 Event N 5K Walk ( Nedra & Ed Tilley for their continued support. more information Last Name e checks payable to:For Nedra & Ed Tilley for their co Use Only $20 With Shirt Sex Name Name 497-7874 hdate (MM/DD/YY) Thanks to the following member sponsors: Thanks toLast the following member sponsors: (by 4/9/10) $15 $2 Official No Day Shirt First Name Last Na ansport Howlers Paul &Fee: Penny Spinner Kennekuk Road Runners Ruth & Glenn Rodden Penny & Paul Spin D akeFirst checks payable to: Age/Race Birth DateShirt: (MM/DD/YY) Entry KRR subtract After 4/9/10 Race Dayday $17Penny Street mber sponsors: Street Logansport Howlers Paul Spinner OUR WONDERFUL MEMBER SPONSORS! 5KTee Make checks payable to: Gender Road Runners Entry$1 Fee: KRR sub Tee shirts race )& 5K Walk (No& No Shirt (by Entry Fee: KRR subtract Lance Bovard Amber & Jason Crawford KRR sub Official Use Only 2014 ENTRY FORM Street After 4/9/10 & Race Day $17 Nedra & Ed Tilley for their continued support. ite: www.kennekuk.com or Email: krr@kennekuk.com Rex Piercy Dave & Sheryl Krohne Robinson Chiro Street Sex to: enekuk checks payable to: Street Shirt: Entry Fee: KRR subtract $1 None Small Med$20&& Official Use(Please Only print (by 4/9/10) With Shirt ennekuk Road Runners $17 postmarked by 11/15/10 Ken Bodin Email Address clearly) Ruth Glenn Rodden Penny & Paul Spinner Frank Young Ruth & Glenn Rodden Penny Paul Spinner Frank Young Mail to: Kennekuk Road Runners 15K (No shirts race day) EntryENTRY Fee: KRR subtract FORM $1 5K Walk ( Shirt Thanks to Tracy Branson Spinner Frank Young to:to:Road For more information No Shirt 4/9/10) With nners 15K 2014 mber sponsors: No Shirt$10 by June 4th $1 ekuk Runners ail Siberian Express Birthdate (MM/DD/YY) A( Street link on KRR web site at www.kennekuk.com Thanks toShirt the(by following member sponsors: None Large No Shirt by June 4th KRR $15 After 4/9/10 & Race Day $17 Goat! 10K First Name Last Name $22 postmarked byAmber 12/13/10 rohne Robinson Chiropractic, Ltd. None Large Mail to: yregistration Lance Bovard & Jason Crawford o: t! StreetEmail Address (Please clearly) Tee Shirt: TH Entry Fee: subtract $1 OUR Thanks to Tracy Bra Last Name No Shirt How Logansport THANKS TO WONDERFUL MEMBER SPONSORS! No $20 City Birthdate (MM/DD/YY) No Shirt by June 4thprintBranson $15 Thanks to Tracy No Shirt $20 Nedra & Ed Tilley for their continued support. Large XL XXL PO Box 1701 With Shirt (by 4/9/10) $15 After 4/9/10 Official Use Only Web Site: www.kennekuk.com or Email: krr@kennekuk.com First Name Last Name State Zip Email Address (Please print clearly) Street Spinner Frank Young State Zip&byrace to: 1701Heavyweight KRR Member nners Mingo 15K PO Thanks Box 1701 $25 to Box With Tee-Shirt 4th With Shirt $2 With Tee-Shirt June 4th City $25 postmarked after 12/15/10 &&web Glenn Rodden Small XL Ruth Tracy Branson Small XL Thanks to Tracy Branson Branson No Shirt by June 4th $15 State Zipday Danville, IL 61834 State by June Zip Shirt )Chiropractic, $30 With Shirt (by 4/9/10 ) Day $30 Birthdate (MM/DD/YY) None Large 15K aheryl &ILEd Tilley forWith their support. City State With Tee-Shirt by June 4th(continued $25 Krohne Robinson Ltd. After 4/9/10 Race $12 Last Name 10K Run (T N City State First Name Last Name Online registration link on KRR site atZip www.kennekuk.com Nedra & Ed Tilley for their PO Box 1701 City Official Use Only Thanks City ville, 61834 3/8/14 Race to the following member sponsors: Danville, IL 61834 After 4/9/10 &&co Race Ken Bodine & Family Lance Bovard Amber & Jason Crawford No Shirt $20 Official Use Only Thanks to Tracy Branson State Zip After June 4th and Race Day 4th (no shirt): $20 First Name Last Name State Zip After & Race— Day $25 After June Race Day shirt): $ Lake Mingo 2010 Postmarked by June 4, 2010 1 4th formand per person —(no photocopies OK Medium XXL4/9/10 After 4/9/10 & shirts Race Day $25 ox 1701 Medium XXL Danville, IL 61834 With Tee-Shirt by June $25 continued support. ss Entry Form 14thform per person photocopies OK 10K Run ( No race day ) No Shirt (by State Run ( 10K Small XL Nedra & Ed Tilley for their continued support. After June and Race Day (no shirt): $20 Nedra & Ed Tilley for their continued support. Branson Street City State State Zip State & Paul Zip Spinner WithRunners Shirt by 4/9/10) $30 Heavyweight City Glenn Rodden Robinson Penny Frank YK Heavyweight sors, Kennekuk Roadper Runners, Road Club First(Name Last Name 010 1 form person — photocopies OK of America, Illinois DaveZip&Ruth Sheryl& Krohne Chiropractic, Ltd. ber Broker/Owner City No shirts race day (by 4/9/10) Age/Race First Name Day (by 4/9/10) KRR Entry Fee: KRR subtract $1 State Event Zip Age/Race Day Shirt Size Heavyweight KRR Member Broker/Owner Danville, IL 61832 Make checks payable to: With Shirt (by 4/9/10) $20 Kennekuk Road Runners Make checks payableLast to: Name Entry Fee: KRR subtract $2 payable $17 F Street Make checks to: Tee Shirt: After 4/9/10 & Race Day Entry No Shirt by June 4th $15 rge Small by 11/15/10 Med Kennekuk Road Runners None $17 postmarked to: Kennekuk RoadMail Runners 15K (No shirts race day)No Shirt by Ju Make checksMember payable to:Date of Birth (MM/DD/YY) Tee Shirt: Entry Fee: KRR subtract $1 Mail to: Siberian Express With Tee-Shirt by June 4th $25 None Large Goat! L First Name 917byN12/13/10 Last Name Kennekuk Road Runners Street $22 postmarked Mail to: Walnut No Shirt $20 Official Only Lake Mingo 2010 Postmarked by June 4, 2010 1 form photocopies OK No Shirt by June 4th $15 No shirts race day XL XXL PO Box 1701 Noneper person Large—Use Mail(no to: shirt): KRRLarge Member Mingo PO Box 1701 After June 4th and Race Day $20 $25City postmarked after 12/15/10 & race day Small XL Shirt (by 4/9/10) With Tee-Shir XL Broker/Owner Danville, IL$25 61832 e Only Danville,With IL 61834 State With $30 Mingo KRR Member Tee-Shirt by June 4th PO Box 1701 Small XL email address (please print clearly): (by 4/9/10) form per person — photocopies OK Danville, IL 61834 No shirts race day PO Box 1701 City After June $254th Medium After XXL4/9/10 & Race Day Danville, 61834 After June 4thRE/MAX and Race Day (no shirt): $20State ILZip Street Susie Danner 2000 Only Medium XXL Danville, IL4/9/10) 61834 (by Last Name In consideration accepting raceMember sponsors, Kennekuk Road Runners, Road Runners Club of America, Illin 497-7874 of your917 N Walnut my entry I hold harmless KRR Birth Date (MM/DD/YY) KRR Member Gender Entry Fee: ss race sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County Broker/Owner Broker/Owner Danville, ILKickapoo 61832 Department of Conservation, State Recreation Area, and others associated with this difficult eventOfficial from allUse liability injury to K Gender Birth Date (MM/DD/YY) KRR Member Entry Fee: KRR subtract $1.00 Onlyfor Walk (Nr ssociated with this difficult event from all liability for injury to property or property or person suffered during this event. isCounty binding upon my heirs, executors and administrators. I also understand my5K name and/ No shirts In This consideration of your Kennekuk Road In consideration yourof accepting my entry hold harmless race sponsors, Kennekuk Road Runners, RRCA, Kennekuk County (No shirts of race day) In consideration your accepting myI entry I hold harmless race sponsors, Kennekuk Road Runners, Kennekuk Park, Illinois Susie Danner RE/MAX race day) accepting my entry I hold harmless race sponsors, 5KCove Walk (No shirts City (by No Shirt State my heirs, executors and administrators. I also understand my name and/or photograph mayallbe usedfrom infor conjunction with results or (by promotions byConservation the Road Runners. 497-7874 917 N Wal Park, Vermilion County Conservation District, and others withevent this difficult event allinjury liability for injury toperson property orCounty No Shirt 4/9/10) $10Kennekuk (by 3/8/14) Dept. of Conservation, and others associated withassociated this difficult from liability to property or suffered during (by 4/9/10) Park, Vermilion District, and others associated with this difficult event Age/Race Day Broker/Owner With Danville, Email Address (Please print clearly) nnekuk Road Runner promotions. Email Address my (Please print clearly) ShirtIL (6 With Shirtand/or (by 4/9/10) person(No suffered during event.upon This is heirs, bindingexecutors upon myand executors and administrators. also understand name this event. Thisrace isthis binding my administrators. I also understand Imy name and/or photograph may be usedthis in$15event. This is binding upon my heirs, executors and person suffered during administ shirts day) 3/8/14 First heirs, Name Last Name (by 4/9/10 After 3/10/1 After 4/9/10 & Race Day $12 photo conjunction may be withresults results or offuture this event or Day future Kennekuk Runner promotions. byused 4/9/10 Age/Race with Kennekuk Road RunnerRoad promotions. photo may be used with results of Member this event or future Kennekuk Road RunnerEntry promotions. Gender Birth Date (MM/DD/YY) KRR Fee: shirts race day) 10K Run (No N 10K Run Signature of Participant Date Signature of Parent or Guardian if participant is under 18 Date(K Official Use Only State Zip No Shirt (by 4/9/10) $15 Signature of Parent/Guardian if participant under 18 5K Walk (Nr No shirts (by No Shirt No shirts Make checks payable to: (by 4/9/10) $20 With Shirt Street Shirt Size KRR Member Date Event Signature of Participant Date of Parent/Guardian if Runners, participant under 18 Runners Club of America, Illinois Official UseSignature Only (by( No Shirt ille, In ILKRR 61834 consideration of your accepting my entry IEntry hold harmless race sponsors, Kennekuk Road Road With Shirt Use Only Runners City Member (by 3/8/14) No Official Use Only 4/9/10) Make checks payable to: Official checks payable to:Shirt After 4/9/10 & Race DayDate$17 KRR Member Fee: KRR subtract $1.00 Signature of& Participant Date Signature ofKennekuk Parent orRoad Guardian if participant is under 18 Event No Shirt (by 4/9/10) $15Make Entry Fee: KRR subtract $1.00 ( With Shirt Signature of Size Participant Date 5K of(by Parent/Gu Date(no Shirt KRR subtract $1.00 After June 4th and Race Day shirt): $20 Shirt Size Birth Date (MM/DD/YY) KRR Member Gender RR subtract $1with Medium 4/9/10 Race Day $25 Event hers associated thisZip difficult After event from all liability injury Entry Fee: KRR subtract $1.00 XXLOfficial None Small Med LakeSignature Mingo 2010 print clearly) With Shirt ( Mail to: Email Address (Please State After 3/10/1 Heavyweight KRRto(Member (No shirts race day) 115K form per person —Make photocopies OK Kennekuk Road .00 Department checks payable to: Runners Use Onlyfor Date of Conservation, Kickapoo State Recreation Area, and others associated with this difficult event from all liability for injury to 3/8/14 (by 4/9/10 With Shirt First Name Last Name DD/YY) KRR Member 5K 5K Walk No shirts race day ) Shirt Size Kennekuk Road Runners Goat! 10K Event Make checks payable to: Make checks payable to: Entry Fee: KRR subtract $2 First Name Last Name KRR Entry Fee: KRR subtract $1.00 Official Use Only (by 4/9/10) $20 With Shirt y June 4, 2010 1 form per person — photocopies OK After 4/9/10 Last Name Official Use Only race day ) No Shirt $20 heirs, executors and administrators. I also understand my name and/or No shirts race day ) 5K Walk ( ors, Kennekuk Road Runners, Road Runners Club of America, Illinois Shirt Size After 3/10/1 Gender Birth Date (MM/DD/YY) KRR Member Street Large XL XXL (No shi 15K Mail to: Make checks payable to: 5K Walk ( No shirts race day ) Tee Shirt: Event accepting my entry I hold$15 harmless during race sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County er s property None Small Med Kennekuk Road Runners PO Box 1701 Citysubtract Official Use $1.00 Only KRR Member 3/8/14 &&Race Race After 4/9/10 race daysubtract orMember person suffered this event. This is binding upon my heirs, executors and also understand my name and/or Entry Fee: KRR No shirts race day State ZipRRCA, WithIrace Shirt (bysponsors, 4/9/10 ) $30 Entry Fee: KRR $1.00 (by 3/10/12) $12 No Shirt State Zip Sex 5K Entry Fee: KRR subtract $1.00 Last Name 15K None Small Med Kennekuk Road Last Name of Birth (MM/DD/YY) $17 postmarked byAfter 11/15/10 KRR subtract $1.00 In consideration of your accepting my entry I administrators. hold harmless Kennekuk Road Runners, Kennekuk C(N ace sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County 10K racechecks sponsors, Kennekuk Road Runners, Kennekuk County Park, Illinois Kennekuk Road shirts race day )Runners 5K Walk (No the Kennekuk Road Runners. Goat! No(No Shirt Danville, IL 61834 10K Runsh City Mail to: Make checks payable to: ers associated with this difficult event from all liability for injury to Entry Fee: KRR subtract $2 $10 Kennekuk Road Runners (by 3/8/14) $12 gmless 4/9/10 &Day Race $17 15K No Shirt (by 4/9/10) $10 Conservation District, and others associated with this difficult event from all liability forEntry injury to Runners property orShirt: None Med Make payable to:Date TeeUse Shirt: Fee: KRR subtract $1 Small AfterLarge 4/9/10 & Race $25Day Street (by 3/10/12) $12 No Shirt State Zip subtract Make checks payable to: Mail to: Tee Entry Fee: KRR $1 00 Official Only (No race 15K (No shirts shirts raced( XL Birth XXL ENTRY FEES: photograph may be used in conjunction with results or promotions by the Kennekuk Road Runners. First Name (by 3/10/12) $20 With Shirt Lake Mingo 2010 Postmarked by June 4, 2010 1 form per person — photocopies OK First Name Last Name Mail to: Siberian Express PO Box 1701 5K Walk ( No shirts race day ) ne 4th $25 With Shirt ciated with this difficult event from all liability for injury to property or Gender Date (MM/DD/YY) KRR Member No Shirt (by 4/9/10) $10 None Large No Shirt (by (by 3/8/14) $15event. difficult event from all liability for injury to property or person suffered during (by 4/9/10) No shirts race day ) 5K Walk ( Goat! Park, Vermilion County Conservation District, and others associated with this difficult event from all liability for injury to None Small Med In consideration of race your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois Kennekuk Road Runners First Name Last Name $17 postmarked by 11/15/10 Kennekuk Road Runners n race day ) Street $22 postmarked by 12/13/10 heirs, executors and administrators. I also understand my name and/or No shirts day ) 5K Walk ( Mail to: his This is binding upon my heirs, executors and administrators. I also understand my name and/or Goat! 10K 15K Mail to: 3/8/14) $20 SexbyKennekuk (by 4/9/10) $15 With Kennekuk Road Runners ccepting my entry I hold race sponsors, Kennekuk Road Runners, RRCA, County 15K (No Last Name NoWith Shirt clearly) Email Address (Please print clearly) Entryharmless Fee: KRR subtract $1Shirt No Shirt June 4th $15 Danville, IL 61834 No Shirt (by 3/10/12) $20 With Shirt Department of Conservation, Kickapoo State Recreation Area, and othersCove associated withXL this difficult event from shirts all XXL liability race for injuryday) to Large XXL PO Box 1701 3/10/1 After 3/10/12 &4/9/10) Race Day $15 None Large Large XL $12 Shirt$1 With Shirt (by $15 heirs, executors and administrators. Imy also understand my name and/or (by 3/10/12) $12 No Shirt State Zip No Shirt by June 4th Gender Birth Date (MM/DD/YY) KRR Member Mail to: Mail to: Express nd administrators. I also understand name and/or photograph may be used inevent. Make checks payable to: 2.2 Entry Fee: KRR subtract $1.00 After Event person suffered during this event. This isheirs, binding upon my heirs, executors and administrators. ISmall also understand my n( PO Box 1701 None Large PO Box 1701 he Road Runners. results ofSiberian thisshirt): event or future Kennekuk Road Runner promotions. Shirt Size Goat! property person suffered during this This is for binding upon my executors and administrators. IMingo also understand myWalk name and/or First Name Last Name No Shirt (by 4/9/10) $10 3/8/14) Name Last Name ace Day (no $20 City (by 4/9/10) $10Kennekuk $22 postmarked by 12/13/10 Mail to:or event $25 12/15/10 & race day (by 3/8/14) $12 KRR Member No Shirt (by 4/9/10) $10 onservation District, and others associated with this difficult from all liability injury topostmarked property orafter XL 3/8/14 Entry Fee: KRR subtract $1.00 With Shirt (by 4/9/10 3/8/14 & Race Day $15 After 4/9/10 & Race Day $12 Danville, IL 61834 No Shirt $20 With Shirt ( Street 15K After 3/10/1 After 3/10/12 & Race Day $15 No Shirt by June 4th $15 No shirts race day ) 10K Run ( After 4/9/10 & Race Day $12 Mingo In consideration of your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runne kuk Road Runner promotions. Kennekuk Road Runners photograph may be used in conjunction with results or promotions by the Kennekuk Road Runners. Signature of Parent or Guardian if participant is under 18 Date With Tee-Shirt by June 4th $25 Large XL XXL No shirts race day ) 5K Walk ( PO Box 1701 (by 3/10/12) $20 With Shirt Sex First Name Last Name nner promotions. Danville, IL 61834 Email Address (Please print clearly) PO Box 1701 5K Birthdate (MM/DD/YY) Small XL email address (please print clearly): Age/Race Day photo may be used with results of this event or future Kennekuk Road Runner promotions. Danville, IL 61834 Mingo PO Box 1701 n$15 $15 No Shirt (by 3/5/16) $12 With Tee-Shirt by June 4th $2 s event. This is binding upon Gender my heirs, executors and administrators. I also understand my name and/or Birth Date (MM/DD/YY) KRR Member 3/8/14 Race 4/9/10 &&(No Race City Department of Conservation, Kickapoo State Recreation Area, and others associated with After this difficult event from With Shirt (by 4/9/10) $15 shirts race day 5K Walk (No shi 15K $25City postmarked after 12/15/10 & race PO Box 1701 Mail to: Entry Fee: KRR subtract $1.00 3/8/14) Small XLNone No shirts race day ))$20 10K Run (race (by 4/9/10) $15 With Shirt Run (No shirts day )day No Shirt (by 3/10/12) $15 10K No shirts race day ) Race Small Med No Shirt (by 3/10/12) $12 Danville, IL 61834 State Zip With Shirt ( by 4/9/10 ) $30 No shirts raceStreet day ) 10K Run ( After 4/9/10 State Zip Street ofWith Participant Date Signature of Parent or Guardian if participant is under 18 Date Medium XXL Danville, IL 61834 After 3/10/12 & Day $15 $12 Tee-Shirt by June 4th $25 $20 Signature After June 4th and Race Day (no shirt): $20 PO (by Box 1701Email property or person suffered during this event. Thissponsors, is bindingKennekuk upon my heirs, executors andRoad administrators. IClub also Street 10K Goat! Medium XXL Danville, IL 61834 Danville, IL 61834 No Shirt In Age/Race consideration of your accepting my entry Iparticipant hold harmless race Road Runners, Runners esults of this event or future Kennekuk Road Runner promotions. print clearly) No Shirt 4/9/10) $15 Address (Please print clearly) Signature of(by Participant Date 3/10/12) $12 No Shirt Birthdate (MM/DD/YY) Signature Parent or Guardian if Email isAddress 18Shirt Date(Please Day (byRace 3/10/12) $20 With Shirt KRR Member (by $25 With Shirt With (by 3/5/16) $20 5K Walk (4th No shirts race day )Runners. After 4/9/10 & Day $12Runn (by 3/8/14) $15 Entry Fee: KRR subtract $1.00 3/8/14 Race Day $15 (by 4/9/10) $15 No Shirt After 4/9/10 &&State Race Day $12 Make checks payable to: After June and Race Day (no shirt): $ shirts race day photograph mayAfter be used inharmless conjunction with results orNo promotions by the Kennekuk Road No Shirt (by 3/10/12) $15 No shirts race day In consideration of myof Kickapoo entry IXXL hold race sponsors, Kennekuk Road Runners, Road te$17Signature 4/9/10 &under Race Day $25 Zip Large XL XXL Date No race day ) your 10K Run (3/10/12) of Parent/Guardian ifshirts participant under 18 accepting Medium Danville, IL 61834 PO Box 1701 of Parent or Make Guardian if participant 18 Date KRR Member Department of Conservation, State Recreation Area, and others associated with this difficult liabil Withall Shirt ( checks payable to:is under After June 4th and Race DaySignature (no shirt): $20 (by3/10/12) 4/9/10) $20 With Shirt(by Birth Date (MM/DD/YY) KRR Member Gender Street After 3/10/12 & Race Dayevent $15from t$15 RRCA, With Shirt After 3/10/12 & Race Day $20 15K Signature of Parent/Guardian if participant under 18 ers, Kennekuk Cove County Kennekuk Road Runners Make checks payable to:Road Date Birthdate (MM/DD/YY) 5K Walk ( No shirts race day ) Age/Race Day Street (by 3/10/12) $12 No Shirt 3/8/14) $25 Danville, IL 61834 (by 4/9/10) $20 With Shirt 10K Run ( No shirts race day ) Department of Conservation, Kickapoo State Recreation Area, and others associated with this difficult event from State After 3/5/16 & Race Day $15 (by 3/10/12) $25 With Shirt No shirts race day ) Run ( property or person suffered during this event. This is binding upon my heirs, executors and administrators. I also understan Gender Birth Date (MM/DD/YY) KRR Member No Shirt (by 3/10/12) $15 No shirts race day ) 10K After 3/10/12 Kennekuk Runners In consideration of your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois First Name City (by 3/8/14) (by 4/9/10) Zip Offic Make checks payable to: race day ) 10K Run (No shirts After 4/9/10 && Race Day $17 State Zip KRR Member KRR Member Heavyweight Date Signature of Parent or or Guardian if participant is3/10/12 under 18 Date Event Fee: KRR subtractof $1.00 Signature of Participant Date Entry $20 Signature Parent/Guardian if State participant under 18 Date $20 Shirt Size After Race Day $15 Birth Date (MM/DD/YY) KRRchecks Member Gender (No shirts race day) 15K Mail to: First Name Last Name Entry Fee: KRR subtract $1.00 Use Only all liability injury toRunners property Med for Kennekuk Road Small Med photograph maywith beOfficial used in conjunction with results orentry promotions by the Kennekuk Road Runners. Make payable to: (by 3/10/12) $12Runners, No Shirt Email Address (Please print clearly) property or person suffered during this event. This is binding upon my heirs, executors and Irace 3/8/14 &harmless Race Day $20 With Shirt (by 3/10/12) Mail to:accepting After 4/9/10 & Race Day $17 Signature ofKennekuk Participant Date Signature of Parent or Guardian ifalso p artis (by 3/10/12) $25 With Shirt (by 3/10/12) $15 No 3/10/12 & Race Day $20 Department ofyour Conservation, Kickapoo State Recreation Area, and others associated this difficult event from all liability for injury toShirt 15K (No shirts race day) In consideration ofIn your accepting my I hold harmless race sponsors, Kennekuk Road Runners, Road Runne No Shirt (by 4/9/10) $15 State Zip $30 City State KRR of Member (by 3/8/14) Kennekuk Road Runners consideration of your accepting my entry I administrators. hold harmless (by 4/9/10) $15 Shirt In consideration accepting my entry INo hold harmless race sponsors, Kennekuk Road RRCA, Kennekuk Cove County In consideration of your my entry I10K hold race sponsors, Kennekuk Road Runners, County Park, Illinois Make checks payable to: shirts race day )After 5K Walk (No $17 City Date City eDD/YY) 3/8/14) Date Signature of Parent/Guardian ifday participant under 18 (by 4/9/10) Goat! Entry Fee: subtract $1.00 No Shirt $20 Official Use Only Run (NoKRR shirts race )$15 State Zip Goat! KRR Member Heavyweight I$25 also understand my name and/or 4.4 Run 5K Walk (No shirts race day ) difficult First Name Kennekuk Road Runners Department ofwith Conservation, Kickapoo State Recreation Area, and others associated with this eventOffici from With Shirt (by 3/10/12) $25 photograph may be used infor conjunction results or (by promotions by the Kennekuk Road Runners. No Shirt $20 Mail With Shirt (by 3/10/12) No shirts race day Make checks payable to: After 3/10/12 &race Race Day $20 property orConservation, person suffered during this event. This is binding upon my heirs, executors and administrators. I also understand my name and/or race day (No shirts race day) 15K (No shirts race day) After 3/10/12 & Race Day $15 Park, Vermilion County Conservation District, and others associated with this difficult event from all liability for injury to property or No Shirt 4/9/10) $10 XL XXL (No shirts race day) 15K Event Make checks payable to: XXLto: Kennekuk Road Runners Dept. of and others associated with this difficult event from all liability injury to property or person suffered during Mail to: Park, Vermilion County Conservation District, and others associated Make checks payable to: Shirt Size Date (by 4/9/10) $20 With Shirt PO Box 1701 In consideration of your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, RRCA, Kennekuk C ace sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County 3/8/14) $25 rmless race sponsors, Kennekuk Road Runners, Kennekuk County Park, Illinois None Small Med No shirts day ) 5K Walk (by 4/9/10) $20 With Shirt by 3/10/12 ) $30 With Shirt ( PO Box 1701 Shirt Size City NoWith Shirt (by 3/10/12) $15 property Address orState person suffered during this event. This is binding upon my3/10/12 heirs, executors and Event ca, Illinois City Email Address (Please print clearly) Email (Please print clearly) State Zip After & Race$15 Dayadministrators. $20 Heavyweight KRR Member I also u (by 3/10/12) $12 No Shirt State Zip Zip Goat! Kennekuk Road Runners Shirt (by 4/9/10 ) Race $20 With Shirt (by 4/9/10) $15 No Shirt (by 3/5/16) person suffered during this This is No binding upon my heirs, executors and administrators. Imy also understand my and/or After 3/10/12 &race Day $15of Participant Mail to: 5K (No shirts day) 15K may be used in conjunction with results or promotions by the Kennekuk Road Runners. Mail to:event. st Name Last Name this event. This isevent binding upon my heirs, executors and administrators. I$30 also understand name and/or photograph may be used in $20 Danville, IL 61834 Goat! Shirt $20 No Shirt $20 Danville, IL 61834 ciated with this difficult from all liability for injury to property orDay suffered during this event. This is binding upon my heirs No race day ) 10K Run ( Kennekuk Road Runners No Shirt (by 4/9/10) $10 Signature Date jury tophotograph Signature ofshirts Parent orday) Guardian if participant isM photograph may beperson used inname conjunction with results or promotions by the Kennekuk Road Runners. (by 3/8/14) Med sShirt: difficult event from all liability for injury to property or person suffered during (by 4/9/10) Kennekuk Road Runners Park, Vermilion County Conservation District, and others associated with this difficult event from all liability for injury to After 3/10/12 & Race Day $25 Street Make checks payable to: Entry Fee: KRR subtract $2 First Name Last Name Shirt Size (by 3/10/12) With Shirt After 4/9/10 & Race Day $17 Entry Fee: KRR subtract $1 (No shirts race 15K 3/8/14 & Race Day $20 Mail to: After 4/9/10 & Race $17 Event Street AfterLarge 4/9/10 & Race Day $25 Make checks to: State Zip $30 Make checks payable to: None Small Med Entry Fee: KRR subtract $1.00 Shirt: clearly) Entry Fee Email Address (Please print clearly) PO Box After 4/9/10 &Tee Race Day $12 race (by 3/10/12) $20 With Shirt photo may be 1701 used with results this event or future Runner promotions. (No shirts day) (No shirts race me and/or XL XXL Goat! Goat! No Shirt conjunction with results orofpayable future Kennekuk Road Runner promotions. First Name Last Name No shirts race day )$20 10K Run (Club With Shirt (by 4/9/10) $15 heirs, executors and administrators. Imy also understand my name and/or PO Box 1701 photo may be used results of this event or future Kennekuk by 3/8/14 $30 administrators. IKennekuk also understand name and/or photograph may be used in 10K With Shirt (by 3/5/16) $25 None Small Med by 3/10/12 )KRR $30 With Shirt (day) With Shirt (Kennekuk 4/9/10 )Road Kennekuk Road Runners Goat! Make checks payable to:with th (MM/DD/YY) No Shirt $20 $17 postmarked by 11/15/10 person suffered during this event. This isRoad binding upon my heirs, executors and administrators. I also understand my K nR Entry Fee: subtract $2 paya No Shirt (by 3/10/12) $15 KRR After 3/10/12 & Race Day $20 Gender Birth Date (MM/DD/YY) KRR Member gnd my entry IShirt: hold race sponsors, Kennekuk Road Runners, Road Runners of America, Illinois Mail to: 3/8/14) Name Last Name ye$25 I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of$1 America, Illinois (by 4/9/10) Street Road Runners Mail to:harmless Make checks Kennekuk Runners 15K (No shirts race day) shirts race day )June 5K Walk (No shirts race day)After 10K Run (No No Shirt by 4th $15 (No shirts race day) Tee 15K (No shirts race day) Entry Fee: KRR subtract XXL Danville, IL 61834 Large 3/10/12 & Race Day $15 Large XL XXL After 4/9/10 & Race Day $12 PO Box 1701 Signature of Participant Date PO Box 1701 Signature of Parent or Guardian if parti kuk Road Runner promotions. PO Box 1701 by 3/10/12 ) $30 With Shirt ( No Shirt by Jun With Shirt (by 3/10/12 ) $30 Danville, IL 61834 No Shirt (by 3/10/12) $15 None Small Med Kennekuk Road Runners Mail to: Siberian Express nner promotions. Date of Birth (MM/DD/YY) $17 postmarked by 11/15/10 Member kapoo State Recreation Area, and others associated with this difficult event from all liability for injury to a, Illinois None Large 3/8/14 & Race Day $25 After 3/10/12 & Race Day $25 After 4/9/10 & Race Day photo may be used with results of this event or future Kennekuk Road Runner promotions. ate Recreation Area, and others associated with this difficult event from all liability for injury to M Goat! (No shirts race day) 15K Mail to: With Shirt (by 3/10/12) Signature of Participant Date First Name Last Name Kennekuk Road Goat! Signature of Parent or Guardian if p artic 3/5/16 & Race Day $20 eetparticipant Shirt (byAfter 4/9/10) $15 $22 postmarked byto: 12/13/10 15K Make checks payable Mail to: TeeEntry Shirt: EntryEntry Fee: KRR subtract $1 Gender Birth Date (MM/DD/YY) KRR Member er Birth Date KRR Member Med No(MM/DD/YY) Shirt (by 3/10/12) $12 if 18 Make checks payable to: Fee: KRR subtract Fee: KRRNo subtract $1.00 No shirts race day )$20 10K (understand IL 61834 No Shirt Event No Danville, IL 61834 $20 Danville, IL 61834 Noand Shirt by June 4th $15 After 3/10/12 & Race $25 $20 No shirts raceDay day$1.00 )to: 10K Run (Name to Shirt Size gury this event. This isunder binding upon my heirs, executors administrators. IRun also my name and/or Mail to: Siberian Express With Tee-Shirt byShirt June 4th $25 Signature of Participant Date Large XL XXL After 3/10/12 &3/10/12) Race Day $25 PO Box 1701 Signature of Parent or Guardian if Danville, participant is under 18 Date None Large nt. This is XL binding upon my heirs, executors and administrators. IClub also understand my name and/or With Shirt (byRoad G llrace Make payable to: First Kennekuk Runners Streetchecks postmarked by 12/13/10 Mail by $22 3/8/14 Goat! (by 4/9/10) $20 With Shirt No Shirt 4/9/10 sponsors, Kennekuk Road Runners, Road Runners of America, Illinois Street Make checks payable to: Mingo Fee: KRR subtract $1.00 Shirt Size PO Box 1701 Box 1701 Event DatePO After 3/10/12 &Club Race Day $20 With Tee-Shirt b Signature of Participant Date (by 3/10/12) $20 With Shirt No Shirt (by 4/9/10) $15 Signature of$20 Parent/Guardian ifrace participant under 18 City City No Shirt by June 4th $15 me and/or In consideration of your accepting my entry I hold harmless sponsors, Kennekuk Road Runners, Road Runners of America, Illinois $25 postmarked after 12/15/10 & race day Kennekuk Road Runners nction withorresults or Entry promotions byKennekuk the Kennekuk Road Runners. Small XL Large XL XXL 5K Walk ( No shirts race day ) PO Box 1701 No shirts race day ) 5K Walk ( None Large Danville, IL 61834 State With Shirt ( by 4/9/10 ) $30 No shirts race day th results promotions by the Road Runners. In consideration of your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois No Shirt (byrace 3/10/12) $15 by 3/8/14 $30 No shirts day Mail to: Kennekuk Road Runners With Shirt ( 4/9/10 ) XXL Make checks paya Mingo P After 4/9/10 & Race Day $17 With Tee-Shirt by June 4th $25 8.8 Run After 3/10/12 & Race Day $20 PO Box 1701 Signature of Participant Date Signature of Parent or Guardian if participant is under 18 Date Event ea, and others associated with this difficult event from all liability for injury to Signature of Participant Date With Shirt ( by 3/10/12 ) $30 I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois 5K Make checks payable to: After June 4th and Race Day (no shirt): $20 Kennekuk Road Runners City PO Box 1701 Date Small XL arly): $25from postmarked afterfor 12/15/10 & race day Shirt Size In consideration of(No your accepting entry I hold race Road (by 4/9/10) $20 With Shirtharmless race )of 5K Walk et Danville, IL 61834 XXL eium Danville, 3/10/12 &shirts Race Daydaymy $15 IL 61834 Department Conservation, Kickapoo State RecreationKennekuk Area, and others associated with this all liability Danville, ILdifficult 61834 (No shirts race Department ofsponsors, Conservation, Kickapoo State Recreation Area, and others associated with15K thisevent difficult event from all day) liability forinjury injury toto Signature ofAfter Parent/Guardian if participant under 18 Mail to: Runners, to(MM/DD/YY) the following member sponsors: Gender Thanks Birth Date Street Thank Nedra & Ed& Tilley for their continued support Entry Fee: KRR $1.00 KRR subtract subtract $1.00 continued support. to Nedra EdForm Tilley for their continued sup Siberian Express Entry Thanks to the following member sponsors: Gender Birth Date Thanks (MM/DD/YY) 2011 KRR Member Ruth & Gle Street Rex Piercy Mike Lindemann 5K Thanks to Tracy Branson Thanks to the following member sponsors: ) ) 5K Walk ( Nedra & Ed Tille Thanks to the following sponsors: Ruth Spinner & Glenn Rodden Penny &Thanks Paul Spinner Frank Young to Nedra & Ed Thanks to the following member sponsors: Paul &member Penny 5KLogansport Howlers Rex Piercy No Mike Lindemann $12 Shirttheir continued $10 10KSpinner Offi Ruth & Glenn Rodden Penny & Paul Frank Young Nedra & Ed Tilley for sup City Ruth & Glenn Logansport Rodden Howlers Penny & Paul Spinner Frank Yo Email print clearly) Paul & Penny 10KAddress (Please $20 With ShirtBranson $15 Spinner T 2014 ENTRY FORM Thanks to Tracy City 15K Nedra & Email Address (please print clearly) State Zip Ruth & Glen Thanks to Tracy Branson 3/8/14 &&Race RaceDay Day $15 After 4/9/10 $12 Thanks to Tracy Branson 15K Nedra & EdLast Tilley forto their continued support Thanks Tracy Branson Nedra && EdFirst Tilley for their support. to Tracy Branson Name Name Thanks ( )) 10K Run Gendercontinued Birth Date (MM/DD/YY) Nedra Ed Tilley forcontinued their support. 2014 ENTRY FORM Nedra & EdTilley for their continued supp Nedra & Ed Tilley for their continued $15 No Shirt $15 support. Gender Birth Date (MM/DD/YY) Entry Fee: KRR KRR subtract subtract$1.00 $1.00 Make checks payable to: $25 $20 With Shirt Shirt 5K Shirt Size EventSize 5K Walk ( )) Street Kennekuk Road Runners 3/8/14 & Race Day $20 After 4/9/10 & Race Day $17 5K Email Address (Pleasemember print clearly) 10K SmallMed Thanks sponsors: None Small $12 No Shirt $10 None Med to the following 5K Mail to: 15K Email Address (Please print clearly) Thanks to the Ruth & Glenn Rodden Penny & Paul Spinner Frank Young $20 With Shirt $15following m 5K Goat! 10K 15K Large XL NoRuth Shirt& Glenn Rodden $20 $20Penny & Pa Large XL XXL XXL 10K 3/8/14 &&Race RaceDay Day $15 After 4/9/10 $12 PO Box 1701 City 10K State Zip $30 With Shirt ( ) 15K Danville, IL 61834 10K Run ( ) ) 5K 15K 3/8/14 &June Race Day $25$25 After 4/9/10 & Race Day None Small Med print Mingo 15K (Please clearly) With Tee-Shirt by 4th(by (by 3/10/12) $12 No Shirt None Small Med Mail to: Email NoAddress ShirtXL(by 3/10/12) $12 PO Box 1701 15Kpayable (Noprint shirts race day) After June 4th 3/10/12) $25 With Shirt Small email address (please clearly): Danville, ILassociated 61834 Kennekuk Road Runners After 4/9/10 & Race Day $25 Kennekuk Road RuaD State Zip 3/8/14 &(No Race Day $25 4/9/10 & Race Day (by 3/8/14) $15 Make checks payable to: Area, and others with event from all liability for injury toduring No Shirt (by 4/9/10) $15 shirts race day) 15K gey Recreation upon my heirs, executors and administrators. Idifficult also understand name and/or Make to: Medium XXL Danville, IL 61834 After 4/9/10 &my Race Day $17 After 3/10/12 &18 Race Day $25 Mail to: Date Signature of Parent or Guardian ifperson participant isRace under Date Event property or person suffered this event. This ischecks binding upon my heirs, executors and administrators. I also understand my name and/or Road Runners Club of America, Illinois Department of Conservation, Kickapoo State Recreation Signature of Participant Date Signature of Parent/Guardian if participant under 18 5Kheirs, No Shirt (by 3/5/16) $20 Date After June 4thentry and Day (no shirt): $20 Med Shirt Size (by 3/10/12) $12 No Shirt PO Box 1701 10K Run (of Noyour shirts race day )this Shirt Size City property orAfter suffered during this event. This is binding upon my executors and administrators. IClub also understand my name and/or Street Goat! 10K Event 10K Medium XXL Goat! State Zip No Shirt $20 In consideration accepting my I hold harmless race sponsors, Kennekuk Road Runners, Road Runners of America, Illinois Small Med No Shirt $20 Danville, IL 618 Email Address (Please print clearly) ilrace (Please print clearly) Date Signature of Parent or Guardian if participant is under 18 Date With Shirt (by 3/10/12) Mail to: (by 3/10/12) $20 With Shirt Large XL XXL After June 4th and Race Day (no shirt): $20 t. Address Thissponsors, isby binding upon my heirs, executors and administrators. I also understand my name and/or After 3/10/12 & Race Day $20 Mail to: photograph may be used in conjunction with results or promotions by the Kennekuk Road Runners. 15K (No shirts race day) Street motions the Kennekuk Road Runners. Kennekuk Road Runners In(by consideration ofGuardian your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinoi Medium XXL Danville, ILis61834 Goat! None Small Med No Shirt $20 Make checks payable to: Kennekuk Road Runners, Road Runners Club of America, Illinois Date Kennekuk Road Runners PO Box 1701 Area, and others associated with this difficult from all liability for injury to property or person City 3/8/14) Date (by 4/9/10) $20 Signature ofRoad Parent or ifRunners pevent articipant under 18 Date Gender Birth Date (MM/DD/YY) KRR Member photograph may be used in conjunction with results or promotions the Kennekuk Road Runners. (by 3/10/12) $15 No Shirt Date harmless 3/10/12) $20 With Shirt I hold race sponsors, Kennekuk Runners, Road Club of America, Illinois 5K Large XL XXL Shirt Size Goat! State Zip Shirt (by 3/5/16) $30 With Shirt (With byWith 4/9/10 ) Shirt $30 Birth Date (MM/DD/YY) KRR Member Event POby Box 1701 In consideration offrom your accepting entry I$25 hold harmless raceKR s 5K 15K Department of Conservation, Kickapoo State Recreation Area, and others associated with this difficult event all liability for injury tofor Entry Fee: bymy 3/10/12 )Goat! $30 With Shirt ((MM/DD/YY) Entry Fee: KRR subt ha,results or promotions by the Kennekuk Road Runners. No ShirtGender $20 Gender Birth Date KRR 10K KRR subt XXL After 3/10/12 &race Race Day $15 Danville, IL None 61834 After 3/10/12 Race Day $15 XL XXL (No shirts day) 15K Mail to:associated Birth Date (MM/DD/YY Gender PO Box 1701 Department of Conservation, Kickapoo State Recreation Area, and others with this difficult event from all liability injury to M suffered during this event. This is upon my executors and administrators. I &also and others associated with this difficult event from all liability for injury totoKennekuk by heirs, 3/10/12 )injury $30 With Shirt (liability nder Birth Date (MM/DD/YY) KRR Member None Small Med Small Med epayable Recreation Area, and others associated with this difficult event from all for 15K Road Runners PO Box3/10/12) 1701 (by $25binding With Shirt old harmless race sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County After 4/9/10 & Race Day $25 After 3/10/12 & Race Day $15 3/8/14 & Race Day $20 to: Mail to: After 4/9/10 & Race Day $17 Entry Fee: KRR subtract $1.00 Official Use Only Department of Conservation, Kickapoo State Recreation Area, and Danville, IL 61834 Zip With Shirt (by 4/9/10 ) $30 Gender Birth Date State (MM/DD/YY) KRR Member Large XL XXL 5K 5K Walk ( No property or person suffered during this event. This is binding upon my heirs, executors and administrators. I also understand my name and/or After 3/5/16 & Race Day $25 After 3/10/12 & Race Day $25 PO Box 1701 10K Entry Fee: KRR subtra Danville, IL NoorIllinois Shirt Danville, IL 61834 shirts day 10K Run (No 10K Run (NoDate shirts race day . entry This isImy binding my heirs, executors and administrators. Iunderstand also understand my name and/or Signature of Participant rac understand my name and/or photograph may bemy used in conjunction with results orGoat! promotions by Signature Parent Guardian if p articipant isWalk under 18)$20 Date property or person suffered during this event. This isCounty binding upon my heirs, executors and Irace also understand my name and/or shirts rac 5Krace (No upon heirs, executors administrators. I all also name and/or Insponsors, consideration your accepting entry Imy hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club ofofAmerica, After 3/10/12 & Race Day $25 After 3/10/12 &61834 Race Day $20 nd others associated with this difficult event liability for injury to property or None Small Med ding Runners In consideration of your my entry I)administrators. hold harmless sponsors, Kennekuk Road R Goat! hold harmless race sponsors, Kennekuk Runners, RRCA, Kennekuk Cove County my entry I upon hold harmless race Kennekuk Road Runners, Kennekuk Park, Illinois 10K 10K Run (and No shirts race dayfrom )ofRoad No shirts race day ) accepting 5K Walk (entry 4/9/10 & Race Day $25 15K property or person suffered during this event. This isCounty binding upon City Mail to: (No shirts race day) (No shirts race InDanville, consideration of yo Large XL XXL InAfter consideration of your accepting my ILarge hold harmless race sponsors, Kennekuk Road Runners, RRCA, Kennekuk Cove County In consideration of your accepting my entry Iby hold harmless race sponsors, Kennekuk Road Runners, Kennekuk Park, Il3 IL No61834 shirts race 5K Walk (Shirt may be used in conjunction with results or promotions by the Kennekuk Road Runners. (by No State te City Signature ofsponsors, Parent orday) Guardian ifofparticipant is under 18 Date results orphotograph promotions by the Kennekuk Road Runners. Department of Conservation, Kickapoo State Recreation Area, and others associated with this difficult event from all15K liability for injury to PO Box 1701 the Kennekuk Road Runners. by 3/10/12 )America, $30 With Shirt (day) XL XXL Signature ofall Participant Date Signature of Parent or Guardian if p articipant is under 18 Date photograph may be used in conjunction with results or promotions the Kennekuk Road Runners. No Shirt (by 3/10/12) $15 (by 3/10/12) $15 No Shirt otions by the Kennekuk Road Runners. 15K (No shirts race ing upon my heirs, executors and administrators. I also understand my name and/or In consideration your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of Illinois g my entry I hold harmless race Kennekuk Road Runners, Road Runners Club of America, Illinois Gender Birth Date (MM/DD/YY) KRR Member District, and others associated with this difficult event from all liability for injury to property or No Shirt (by 4/9/10) $10 Make checks payab (by 3/8/14) ers associated with this difficult event from liability for injury to property or person suffered during No Shirt (by 4/9/10) Date Park, Vermilion County Conservation District, and others associated with this difficult event f Entry Fee: KRR subtr Signature of Parent or Guardian if p articipant is under 18 Date photograph may be used in conjunction with results or promotions (by 3/10/12) $15 No Shirt Goat! Event PO Box 1701 10K hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois 15K Park, Vermilion County Conservation District, and others associated with this difficult event from all liability for injury to property or No Shirt (by 4/9/10) Shirt Size property or person suffered during this event. This is binding upon my heirs, executors and administrators. I also understand my name and/or Dept. of Conservation, and others associated with this difficult event from all liability for injury to property or person suffered d Park, Vermilion Coun mail (Please print clearly) Email Address (Please print clearly) $20 Danville, IL 3/10/12) 61834 Nodifficult Shirt $20 (by With Shirt ckapoo State Recreation Area, and others associated with this difficultXL event from allprint liability for injury toname After 3/10/12 &3/10/12) Race Day $25 No Shirt $20 Email Address (Please print clearly) future Kennekuk Road Runner promotions. Email Address (Please print clear Large XXL Email Address clearly) Department of Conservation, Kickapoo State Recreation Area, and others associated with event from all liability for injury to With Shirt (by 4/9/10) $15 is isAddress binding upon my heirs, executors and administrators. Imy also understand my and/or 15K With Shirt (by With Shirt (by $25 nng my heirs, executors and administrators. Iand also understand name and/or photograph may be used inRunners. In consideration ofadministrators. your accepting my entry I (Please hold harmless race sponsors, Kennekuk R er Birth Date (MM/DD/YY) KRR Member Kennekuk Road Run photograph may be usedperson in (Please conjunction with results orbinding promotions byto the Kennekuk Road Email print clearly) Recreation Area, and others associated with this difficult event from all liability for injury With Shirt (by 4/9/10) Make checks payable to: person suffered during this event. This is this binding upon my heirs, executors and administra Make checks payable to: during event. This is binding upon my heirs, executors and administrators. Imy also understand my name and/or No shirts race 5K Walk ((by (by 3/10/12) $25 With Shirt Entry Fee: KRR subtract $1.00 Event this event. This isthis upon my heirs, executors and I Address also understand name and/or photograph may be us nt PO Box 1701 Danville, IL 61834 3/8/14) First Name Last Name With Shirt 4/9/10) person suffered durin 5K ayable to:This Shirt Size this event. isShirt binding upon my heirs, executors administrators. I suffered also understand my name and/or Size First Name Last Name After 3/10/12 After 4/9/10 & Race Day $12 With Shirt ( by 3/10/12 ) $30 by 3/8/14 $30 sunction event or future Kennekuk Road Runner promotions. With Shirt ( 4/9/10 ) property or person suffered during this event. This is binding upon my heirs, executors and administrators. I also understand my name and/or After 4/9/10 & Race Da Department of Conservation, Kickapoo State Recreation Area, and others associated w 15K re Kennekuk Road Runner photo may be understand used with results of this event or future Kennekuk Road Runner promotions. After 3/10/12 & Race Day $20 After 3/10/12 & Race Day $20 This iswith binding upon my3/10/12 heirs, executors and administrators. I also my name and/or Mail to: In consideration of your accepting my entry I hold harmless race sponsors, Kennekuk Road Runners, Road Runners Club of America, Illinois Kennekuk Road Runners results or promotions bypromotions. the Kennekuk Road Runners. Date Kennekuk Road Runners photo may be used with results of this event or future Kennekuk Road Runner promotions. Signature of Parent or Guardian if p articipant is under 18 Date conjunction with results or future Kennekuk Road Runner promotions. After & Race Day $20 No shirts race day ) 5K Walk ( None Small Med No Shirt (by 3/10/12) photo may be used w Runners ILrace 61834 Gender Birth Date (MM/DD/YY) KRR Member 5K 8345K Signature Entry Fee: Birth Date (MM/DD/YY) 3/8/14 Race 10K Danville, Run (No shirts day ) of After 4/9/10 Race D of Participant Date Signature of Parent or Guardian if participant isRace 18 Date After 3/10/12 &photograph Race Day $25 10K Run (& No shirts race of Participant Date No 10K Run Signature Parent orday) Guardian if4/9/10 participant under 18 Date may in conjunction with results or of promotions by the Kennekuk Road Runners. property or person suffered during this event. This isis binding upon my heirs, executors Signature of ofParticipant Date eesults orSignature Signature ofhold Parent or Guardian ifunder participant is $25 under 18& Date(KR Signature Parent orday) Guardian ifused participant is under 18 Date promotions by theofshirts Kennekuk Road Runners. 3/8/14 Race Day 10K After &&Gender Day Signature of Participant Date Department ofbeConservation, Kickapoo State Recreation Area, and others associated with this event from all liability for injury to Goat! 15K (No shirts race day) In consideration your accepting my entry harmless race sponsors, Kennekuk Road Runne 15K (No shirts race Mail to: Mail to: 15K (No race Email Address (Please print Signature Participant Date Signature ofShirt Parent or Guardian if I participant is difficult under 18 Date None Small Medclearly) No (by 3/10/12) $12 (by 3/10/12) With Shirt None Small Med No Shirt (by 4/9/10) $15 No Shirt (by 4/9/10) 5K Walk ( No Date Signature of Parent/Guardian if participant under 18 photograph may be used in conjunction with results or promotions by the Kennekuk Ro Run (1701 No shirts (byra No 10K NoShirt shirts ra3 Large XLRunners XXL property or person suffered during this This is bindingKennekuk upon my heirs, executors andRoad administrators. IClub also understand my name and/or kuk RoadIn Runners, RoadShirt Runners Club ofaccepting America, Illinois 10K PO Box 10K Goat! Goat! Department ofsponsors, Conservation, Kickapoo State Recreation and others associated with this diffic No Shirt $20 consideration ofSignature your my entry Iparticipant hold harmless Road Runners, of America, Illinois No Shirt $20 Make checks payable to:event. No $20 Make checks payable to:After (by 4/9/10) $20 With Shirt ail Address (Please print clearly) Date (by With Shirt Street Signature of Parent or Guardian if if is under 18 race Date Street (by 3/10/12) $20Area, With Shirt 3/10/12 & 4/9/10) Race Shirt Size Shirt Size Date vent Event Date Signature ofparticipant Participant Date of Parent/Guardian under 18 Signature of Parent/Guardian if participant under 18 Nedra & Thanks to Tracy Branson Thanks to Tracy Nedra & EdTilley for their continued support. Nedra & EdTilley for the 15K ed with this difficult event from all liability for injury to be used in conjunction with results or promotions photograph may by the Kennekuk Road Runners. No Shirt (by 3