Form - Ridge Runner Sports

Branson Tri-Lakes 2nd Annual 5K Run/Walk
Saturday, April 4th, 2015-Branson Landing
The EASTER BUNNY will
be leading the race &
greeting the kids!
Registration Form
In an effort of addressing the needs of our community, proceeds to benefit our local charity campaigns. Whether providing Christmas gifts to
local school children, feeding those less fortunate or donating our time & labor to various charitable organizations, Keller Williams is
committed to you & our community! QUESTIONS… Please call (417) 336-4999 or email tinastone540@aol.com. We hope to see you there!
Race Day Schedule
6:30am-7:40am Packet Pick-Up/Late Registration
8:00 am 5K Run/Walk RAIN OR SHINE
Location
Branson Landing- Fountain Area
Entry Fees
5K - $20 (includes T-shirt & gift bag if registered by March 27th)
Day of Race $25 (T-shirt & gift bag provided while quantities last)
Family Registration $60 (Family of 4, all must live in same household)
Age 5 & under FREE
Awards
Awards will be given to top overall male &
female plus 1st, 2nd & 3rd in each category.
*Under 11
*12-14
*15-19
*20-29
*30-39
*40-49
*50-59
*60-69
*70-79
*80-89
*90+
Timing Services Provided by Ozark Racing
Systems
Registration by cash, check or credit card. Credit card entries must be done at ozarkraces.com. Please make checks payable to Keller Williams.
Please mail or deliver to 714 State Hwy 248 Suite #10, Branson, MO 65616. Online registration at ozarkraces.com.
_______________________ ________________________
Last Name
First Name
T-Shirt Sizes
Adult Sizes:
________________________________________________
Address
Youth Sizes: S M L XL
S M L XL XXL
Amount Enclosed:__________ CASH
___________________________ __________ ________
City
State
Zip Code
___________________________ __________________
Email
Phone Number
CHECK
ADDITIONAL NAMES FOR FAMILY REGISTRATION
1.______________________________________
2._______________________________________
Age:_____ Date of Birth:_________
Sex: ___Male ___ Female
3._______________________________________
In consideration of your accepting this entry form, I, the undersigned, intending to be legally bound for myself, my heirs, executors and administrators, waive and
release any and all right and claims for damages I may have against Keller Williams, the officials and sponsors of the Keller Williams 5k Run/Walk, whether caused by
my negligence or that of Keller Williams or the officials, sponsors or volunteering working such Run. I acknowledge that I am aware of the inherent risks of
participation in an athletic event of this type. I assume all risk of injury, whether or not caused by negligence, and release any claim I may have for any injury that I
may sustain. I irrevocable grant full permission to Keller Williams to use photographs, videotapes, motion pictures and/or recordings of me, or any other record of
this event for any legitimate purpose.
__________________________________________________________________
Signature (If under 18, parent or guardian must sign)
___________________
Date
Keller Williams Tri-Lakes Realty
Branson (417) 336-4999
114 State Highway 248 Suite #10
Branson, MO 65616
Kimberling City (417) 739-4367
12907 State Highway 13
Kimberling City, MO 65686