Registration Form - Marsh View Veterinary Clinic

Randolph
SUMMER SIZZLER
JUNE 18, 2016
All Events Held on Stark St.
Proceeds Benefit the Randolph Teacher’s Care Fund
Randolph Teacher’s Care Fund assists students in the Randolph School District who do not have
the financial means to purchase school supplies, clothing, or other necessities.
5K Fun Run/Walk
Begins at 8:00am - Part of Randolph’s 15K Challenge Series
3 on 3 Basketball Tournament
As early as 9:00am
Inflatables
Fun Express Train Station, Deluxe Obstacle Course, Funny Farm
$5 for wristband pass
Petting Zoo • DJ • Face Painting • Food Vendors • Vendor Booths
Children’s Games • Dunk Tank - 3 throws for a $1
(bring a nonperishable food item for the dunk tank and receive 3 FREE Throws)
Bean Bag Toss Tournament
Adult tournament begins as early as 2:00pm
Live Music
Events are subject to change with out prior notice. Events Sponsored by Randolph Chamber of Commerce and the following
businesses: A&B Fitness Concepts, Beaver Dam Community Hospital, CenturyLink, Hacco, Inc./Neogen, Mailing Expert LLC, Markesan
State Bank, Marsh View Veterinary Clinic, National Exchange Bank & Trust, Randolph Booster Club, Randolph Piggly Wiggly, Roberts
Brothers Painting, Sam’s Well Drilling, SIA Insurance Services, United Wisconsin Grain Producers, and Schaumburg Supper Club
In case of inclement weather, events will be held at Randolph Elementary/Middle School
Please check out the Chamber Website for all Event Updates and Registration Forms - randolphwi.net
3 on 3
Basketball
Tournament
Bean Bag
Tournament
Downtown Randolph
Starts as early as:
9 a.m.
$40.00 Entry Fee for All Divisions
Boys & Girls
Entering Grade in September 2016
3rd & 4th Grade Division
5th & 6th Grade Division
7th & 8th Grade Division
High School Division
All Proceeds Benefit Randolph Teacher’s Care Fund
Information:
16 Team
Tournament
Begins as early as 2 p.m.
$25.00 Entry Fee
Proceeds Benefit
Randolph Teacher’s Care Fund
The Teacher’s Care Fund provides school supplies, clothing,
and other assistance to those families in the school district who
otherwise would not have the monies to do so.
Entry forms to be returned by June 1, 2016
Each player must sign the release & fill out the entry
form information
SIGN UP EARLY:
1st Place: $75
2nd Place: $50
3rd Place: $25
Download Registration Form at:
www.randolphwi.net
Download Registration Form at:
www.randolphwi.net
Summer Sizzler
5K Run/Walk
8 a.m.
Awards to Top 2
Runners and Walkers
5K Run/Walk
Starts and End on Stark St, Randolph
Cost:
$30 Pre-registration ends June 10
$35 Race Day Registration
(not guaranteed shirt)
$20 for Youth Runners up to age 18
$25 Youth Race Day Registration
All Youth Runners Receive a FREE Wristband for the Inflatables
Registration:
Special Award to Top
Father/Child Combined Times
Mail to:
W12025 County Road AA, Randolph WI 53956
or Drop off at Marsh View Veterinary Clinic
620 Jones Drive, Randolph WI 53956
Checks payable to:
Proceeds benefit the
Randolph Chamber of Commerce
Randolph Teacher’s Care Fund
Register Online at racemine.com (Search Summer Sizzler). Any
questions contact Rita at [email protected]
Name First and Last:____________________________
Birthday(d/m/yr):_____ Male:__ Female:__
Address: ______________________________________ E-mail Address: ________________________
City/State/Zip: _____________________________
Shirt Size: S M
L
XL
Phone: (____) ________________________
2XL (Circle one, 2XL is $2.00 more. Late Registration NOT guaranteed a shirt)
Release form: Upon acceptance of this entry form, I waive all claims for myself and my heirs against the Randolph Chamber of Commerce, all Run Sponsors and
The Village of Randolph, for injury or illness from direct or indirect participation. I also grant permission to use any photographs or other promotional record of
this event for any legitimate reason. I further understand that there are no refunds if, for any reason, I am not able to run/walk the race or the race is canceled due
to unforeseen circumstances.
Signature______________________________________________
Date __________________
Signature of Parent or guardian (if under 18)______________________ Date___________________