Boyland Honda - Kenosha Literacy Council

Transcription

Boyland Honda - Kenosha Literacy Council
Co-Hosted By:
What date will you be
picking up your packet?
____Wednesday, July 30th • 8a.m.-5p.m.
Kenosha Area Business Alliance
5500-6th Avenue Suite 200
Questions? Contact Us.
Kenosha Literacy Council
____Thursday, July 31st • 9a.m.-6p.m.
Kenosha Literacy Council
2419-63rd Street
www.KenoshaLit.org
262.654.7323
____Thursday, July 31st • 4p.m.-7p.m.
Salomon Sport - Prime Outlets
11211-120th Avenue Pleasant Prairie
www.YLinkKenosha.com
262.605.1100
____Friday, August 1st • 8a.m.-5p.m.
LMI Packaging Solutions
8911-102nd Street Pleasant Prairie
Mail or drop off registration to:
Kenosha Literacy Council
2419-63rd Street
Kenosha, WI 53143
Make check payable to:
“Kenosha Literacy Council”
Cash or check ONLY accepted when
registering by mail or in person.
Y-Link
Sponsors
Boyland Honda
Saturday, August 2, 2014
9:30a.m. Run/Walk Starts
Navy Memorial Park
54th Street & 6th Avenue
Kenosha, WI
Registration
Individual
Family
$35.00
$70.00
Includes 2 adults and children under 12.
All participants who register by July 24th receive a high-quality t-shirt and goody bag!
Packet Pick Up
Mail In Registration
Participants must pick up their event
packets in advance during one of the
following times
Name:_ ____________________________
Address:_ __________________________
City:__________ State: ______________
Zip: _______________________________
Email: _____________________________
Phone: _ ___________________________
Age: ________ Gender:_ _____________
Wednesday, July 30th • 8a.m.-5p.m.
Kenosha Area Business Alliance
5500-6th Avenue Suite 200
Thursday, July 31st • 9a.m.-6p.m.
Kenosha Literacy Council
2419-63rd Street
Thursday, July 31st • 4p.m.-7p.m.
Salomon Sport - Prime Outlets
11211-120th Avenue Pleasant Prairie
Friday, August 1st • 8a.m.-5p.m.
LMI Packaging Solutions
8911-102nd Street Pleasant Prairie
There will be no registration or packets
pick-up the day of the race. Participants
must pick up their packets in advance.
Two Easy Ways to Register
1. Online with credit card at:
www.KenoshaLit.org or www.YLinkKenosha.com
2. Mail registration form and check to:
Kenosha Literacy Council
2419-63rd Street
Kenosha, WI 53143
5K Course
The start/finish line will be located at the
northwest corner of 54th Street and 6th
Avenue. The 5K course routes through
Harbor Park and along the beautiful
Kenosha Lakefront. A course map is
available online at www.KenoshaLit.org
or www.YLinkKenosha.com.
Event (Circle One) 5K Run 5K Walk
T-shirt Size (Circle One)
YM YL S M L XL XXL
____ I am registering as an individual $35
____ I am registering as a family $70
2nd Adult Name ������������������� 2nd Adult T-shirt Size (Circle One)
YM YL S M L XL XXL
Children’s Names, Ages, T-shirt Size
��������������������������������� ��������������������������������� ��������������������������������� ���������������������������������
Waiver and Release – I and my heirs hereby release
Kenosha Literacy Council and Y-Link, its employees,
and any other people officially connected with this
event from any and all liability for damage to or loss
of personal property, sickness, or injury from whatever
source, legal entanglements, imprisonment, death, or
loss of money, which might occur while participating in
this event. Specifically, I release said persons from any
liability of responsibility for my physical condition, for
the condition or selection of the course route and for the
possibilities of sprained muscles and ligaments, broken
bones, and fatigue. I also attest and verify that I am
physically fit to participate in this activity.
Signature: ������������������������� Date:����������������������������� Legal guardian signature if a minor:
���������������������������������
Please fill out the reverse side to
complete registration