Micke Grove Zoo Zoom Application

2nd Annual Micke Grove
5K RUN / WALK
& KIDS’ RUN
Sunday, June 10, 2012
Micke Grove Zoo
11793 No. Micke Grove Rd., Lodi
Registration & Check-in - 6:30 a.m.
Races start - 8:00 a.m.
All proceeds benefit
Run or walk through beautiful Micke Grove Park on a paved 5K loop, finishing
inside the zoo. All entries include a commemorative t-shirt, refreshments, pancake breakfast, and free
park and zoo entry.
Entry Fee: $30 if registered by June 7. $35 for race day registration. Do not mail entry after June 2.
Special Family Package (4 members): $100 if registered by June 7. $120 for race day registration. For
additional family members, add $30 each. All entry forms must be submitted at the same time. Do not mail
after June 2. Includes run entry, t-shirt and zoo entry for each family member entered.
Unique, zoo-themed awards for the top three male and female winners in age groups:
13 & under, 14-18, 19-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
KIDS’ RUN (8 & under, not timed or scored)
Entry Fee: $15 (includes race bib, custom finishers ribbon, and stuffed animal)
4 & under - 100 yards
5-6 year-olds - 200 yards
7-8 year-olds - 400 yards
Online Registration: www.onyourmarkevents.com FREE Kiwanis Pancake
For more information, call 209-795-7832.
Breakfast for all runners!
Presented by the Micke Grove Zoological Society
Sponsored by:
State Farm Insurance,
Tom McCauley
Bowman & Company, LLP
STOCKTON
Geweke Toyota
Greater Lodi
Micke Grove ZooZoom 2012 Entry Form
OFFICIAL USE ONLY
DO NOT MAIL AFTER JUNE 2.
Choose your race: q
5K q
Kids’
q
Male q
Female Age
Name
Address
(
Phone
City, State, ZIP
)
Make check payable to
Micke Grove ZooZoom.
Send this completed form
by June 2 to:
On Your Mark
PO Box 1199
Arnold, CA 95223
Waivers to be signed on race day.
Email