ECIs 2nd Annual

BOO RUN RUN

WHEN:

WHERE:

st

October 31 , 2015
Registration Begins at 9:30
10:00 AM Start 1K
10:30 AM Start 5K

Costume Walk/Run
1K AND 5K
First Name:
Address:
City:
Gender:
M

Shirt Sizes:

Castle Park
(Castle Street/Carol
Street)
Crookston, MN

Prizes will be given out to different age ranges for first

place finishers in the 1K. 5K and top 3 costumes prizes
also. There will also be drawings for door prizes that will be
given away after the race!

Every child will receive a free book!

Last Name:

State/Province:
Date of Birth:

Postal Code:
Age on Race Day:

ADULT: S M L XL XXL

Email:
Phone #:

YOUTH: XS S M L XL

(Long Sleeved Shirt Only Guaranteed With Pre-Registration)

FEES AND DEADLINES (Race fees are non-refundable)
______ $15 (Children 5 to 12 Years) mailed by Oct 17th
______ 20 (13 Years to Adult) mailed by Oct 17th

*** May register that day but not guaranteed a t-shirt

Waiver: In consideration of the acceptance of this entry, I hereby, for
myself and my heirs, executors and administrators, waive any and all
rights, claims, and damages I may have against the Crookston Early
Childhood Initiative, the sponsors, coordination groups, City of Crookston
and any individuals associated with said event. Also, none of the above is
responsible for either the loss of personal items nor aggravation in
connection with said event. I also give permission for the free use of my
name and picture in any broadcast, telecast or print media account of
the event or events managed by the Crookston Early Childhood Initiative.
In filling out this form, I acknowledge I have read and fully understand
my own liability and do accept the restrictions. I also understand that all
race fees are non-refundable. If you are under 18 years of age you must
have the signature of your legal guardian to participate in this event.

Signature:

SUBMIT REGISTRATION TO:

Brandi Nesseth
610 Fir Lane
Crookston, MN 56716
*Make Checks Payable To
Crookston Early Childhood Initiative