Kids` Run Registration Form

20th Annual Ghoulish Gallop
Saturday, October 18, 2014
McKee Farms Park
8:30 a.m. Start
Go to active.com for online registration.
(Closes Thursday, October 16th at 5 pm.)
Early Entry Fee: $25 (until September 28, 2014)
Payment & entry form must be received by September 28.
Advance Entry Fee: $30 (after September 28)
Payment & entry form must be received by October 16.
Race Day Registration: $35
Registration begins at 7:00 a.m. on race day.
Pre-race day packet pick up will take place at Fleet
Feet (8440 Old Sauk Rd., Madison) Friday, October
17, 2014 from 4 - 7 p.m.
Registration and packet pick up will take place at
McKee Farms Park Shelter from 7:00 a.m. - 8:15 a.m.
on Race Day.
Group Registration: $23 per person
Receive a $2.00 per person discount by registering as a
group of five or more. Group registrations must be
received in the same envelope and must be received by
September 28.
Maps of the race courses are on our website:
ghoulishgallop.com
Start Time 9:30 a.m.
Includes T-shirt
& Culvers Scoop Coupon
(while supplies last)
100 yard dash (4 & under) and
Lap around Park (10 & under)
FREE
10K/5K Run &
5K Irv Stein Memorial Walk
Participants will receive an official Ghoulish Gallop
long-sleeve Tech T-Shirt while supplies last. Preregister by September 28th to guarantee a shirt. All
entry fees are non-refundable.
Mail this completed form with
check payable to:
RASCW Housing Foundation
4801 Forest Run Road, Suite 101
Madison, WI 53704-7337
& Activities
(7:00 a.m. Registration)
Registration Information
Registration Form
Kids' Run
Registration form at: ghoulishgallop.com
Free Kids' Runs • Bouncy House • Costume Contest
Race Entered: 5K Run
10K Run
5K Irv Stein Memorial Walk
First Name:
Last Name:
Awards
Plaques will be presented to male & female 10K & 5K
run first place winners. Certificates for second and
third place.
Certificates will be awarded to first place finishers in
the following age groups:
10 & Under
11-15
16-20
21-29
30-39
40-49
50-59
60-69
70-79
Costume Contest
80 & Up
Best costume prizes will be given at the awards ceremony. You must be a participant in the race to participate
in the costume contest.
Directions to McKee Farms Park
From I-90,
Exit onto Hwy 12/18 West (Beltline)
Exit Fish Hatchery Road (left) to
Hwy PD (right) to
Chapel Valley Road (left) to
Brendan Ave (left)
Turn right just before the tennis
courts to get to the shelter
For more information:
608.240.2800
ghoulishgallop.com
Male Female
Birthdate:
Email Address:
Daytime Phone: (
)
Address:
City: State:Zip:
Long-Sleeve Tech T-shirt Size:
X-Small
Small X-Large XX-Large
Med
Large
No T-shirt Needed
I hereby release the REALTORS® Association of South Central
Wisconsin, the REALTORS® Association of South Central
Wisconsin Housing Foundation and their employees and
agents and any other people officially connected with this
competition from all liability for any injuries or damages
which I might suffer. Specifically, I release said persons from
any liability or responsibility for my physical condition, for the
condition of course route and for the presence or actions of
any other participants. I also understand I will be billed $30
each for any unreturned timing chips. I authorize photos and/
or video taken of me at the event to be used in promotional
material without notice or compensation. Participants under
age 18 must have parent or legal guardian sign this form.
Signature:
Date:
Please tell us where you received this brochure:
race#
Platinum Sponsors
The Foundation
The REALTORS® Association of South Central
Wisconsin Housing Foundation is a non-profit organization under the IRS code 501(c)(3). Created in 1989,
the purpose of the Foundation is to increase and
improve the supply of affordable housing in Columbia,
Crawford, Dane, Dodge, Grant, Green, Iowa, Jefferson,
Lafayette, Richland, Rock and Sauk counties by providing down payment assistance in the form of low interest
loans to individuals and families.
In the 24 years of our existence the Foundation has
given out over two million dollars in loans: $1,304,000
for individual loans, helping more than 480 families to
successfully purchase homes in South Central Wisconsin
and $870,000 to organizations to help with their affordable housing projects.
Gold Sponsors
20th Annual
R ASCW Ghoulish Gallop
& Irv Stein Memorial Walk
presented by
The State Bank of Cross Plains
Silver Sponsors
The REALTORS® Association of South Central
Wisconsin Housing Foundation – building a foundation
for affordable housing in South Central Wisconsin.
Saturday, O ctober 18, 2014
M c K ee F arms P ark , F itchburg
Irv Stein
Irv Stein was a valued Member of the REALTORS®
Association of South Central Wisconsin for 30 years joining in 1958. He was one of the creators and founding Directors of the REALTORS® Association of South
Central Wisconsin Housing Foundation. He served on
the Foundation Board of Directors from the beginning,
in 1989, until his unexpected death in 1998, including
one year as President in 1991. Extremely active in both
the REALTOR® organization and his community, the
Foundation was one of Irv’s many ways of giving back.
Thank You to our
Food & Drink Sponsors
Bagels Forever
Miller & Sons Supermarket
Starbucks
Stella's Bakery
New Logo - Same Great Run!
Thank you to Aplus Graphic Services.
Bronze Sponsors
AnchorBank
Bunbury & Associates, REALTORS®
Capitol Bank
Coldwell Banker Success
Fairway Independent Mortgage
First American Title Ins Co
Gorman & Company, Inc
Johnson Bank
Keller Real Estate LLC
Knight-Barry Title
Oak Bank
The Kruse Company, REALTORS®
Realty Executives Cooper Spransy
WHEDA
Wisconsin Bank and Trust
10K /5K Run &
5K Irv Stein Memorial Walk
& American Family Kids' Run
8:30 a.m. Start
Kids’ Run - 9:30 a.m.
All proceeds from the Ghoulish Gallop Benefit:
Media Sponsors
608.240.2800
ghoulishgallop.com