NEW 2.5 & 5 Mile Run and 2.5 Walk!
Pick your Competition!
CORN CAPITAL HEALTH CHOICE RUN 2017
1st -100 registered receive a Corn Capital Water Bottle or Bag!
July 29, 2017 2.5 Mile Walk – 2.5 Mile Run and 5 Mile-Run and Relay
Registration 7:30 am Race begins: 8:00 am
Location: S. Nester Park Entry Fee: $15 (ages 12-adults) $10 11 yoa or younger
Age Divisions: 2.5 RUN Age Divisions: 5 Mile RUN
A: <12 E: 41-54 A: 13- 16 E: 55 PLUS
B: 13-16 F: 55 PLUS B 17-29
C: 17-29 C: 30-40
D: 30-40 D: 41-54
Relay: Youth(7-15)_______ Adult(16+)_______ Mixed Ages________
T-Shirts guaranteed for all pre-registered participants. Extra t-shirts will be available at day of race with limited supply. 1ST 100 registered receive a Corn Capital Bag or Water Bottle!
Contact Jennifer Robideau or Denise Seidl at Health Choice of Olivia 320-523-1253 For questions
E-mail: email@example.com or form on https://corncapitaldays.com/
Official Entry Form for Health Choice Corn Capital Race
Please make checks payable to: Health Choice
Send check and entry form by Friday July 27, 2017 to:
Health Choice 1325 W. Lincoln Ave., Olivia, MN 56277
Circle One Shirt Size: YM YL S M L XL 2XL
I will participate in the (Mark with an X)
_________5 – Mile Run _________2.5- Mile Run _________2.5 Mile Walk or _________Relay Team
Please sign WAIVER: In consideration of the acceptance of my entry, I the undersigned, intending to be legally bound for myself, my heirs of executors, and administrators do herby release any and all sponsors of this race their representatives and assign from any and all liability arising from illness and. or injuries I may suffer as a result of my participation in this race. I attest and verify that I am physically fit and have sufficient training for the completion of this race. I also understand and agree that my sponsor may subsequently use for publicity and or promotional purposes my name and or photograph, videotapes, motion pictures and recording of my participating in this event without obligation of liability to me. I also understand that entry fees are not refundable. I have read foregoing and certify my agreement by signature following:
Signature (s) Parent’s signature if participating and under 18).