sponsors - City of Neenah

REGISTRATION FORM
2015 Filthy Fun Kids Run
(one form per participant)
Check One
*Age as of day of the run
q Ages 4-6
q Ages 7-8
q Ages 9-10
q Ages 11-14
Entry Fees
Through June 12 - $15
June 13-July 10* - $20
July 10*-July 11 - $30
*Registrations must be accepted by 12:00PM on July 10 to qualify
for the $20 Entry Fee.
SPONSORS
A special thank you to the run sponsors who help
make the Filthy Fun Kids Run possible.
FILTHY FUN
KIDS RUN
Name: ______________________________________________
Birthday: ____________/ _______________/_______________
Email: _______________________________________________
Phone: ______________________________________________
Address: _____________________________________________
City: ________________________ State: _______ Zip: ______
T-Shirt Size (check one):
Youth: q SM
q MED
q LG
q XL
Adult: q SM
q MED
q LG
q XL
You should be aware that Parks & Recreation programs involve an element of
risk or danger for all participants and may cause serious injury, death or property
loss. The Town of Menasha Parks & Recreation Department and City of Neenah
Parks & Recreation Department does not provide or cover any medical or hospital
insurance for participants in our programs. All persons participating in the Filthy
Fun Kids Run must provide their own insurance and assume risk for all injuries. I
consent to the full use of my child’s image in photos and videos for any legitimate
purpose in regards to the future promotion to this event. My child is physically fit
and sufficiently aware of the risks involved in participation in walk/run events of
this kind/distance and in any outdoor activity with regards to weather, automobile
traffic, pedestrian traffic, etc.
Please make checks payable and mail to:
Neenah Parks & Recreation
211 Walnut Street
Neenah, WI 54956
OR (accepted at both locations)
Town of Menasha Parks & Recreation
2000 Municipal Drive
Neenah, WI 54956
Registration Fee: $ ____________
Date: ________________________
Signature of Parent/Legal Guardian: __________________________
SATURDAY JULY 11, 2015
O’HAUSER PARK
Co-HOSTED BY
ENTRY FEE INCLUDES
fiFILTHY FUN KIDS RUN
• A Filthy Fun Kid Run headband
• Filthy Fun Kid Run t-shirt
• The opportunity to participate in a great adventure run/
walk with obstacles!
• Post run refreshment vouchers
• All run fiinshers receive a commemorative medal
REGISTRATION
The Filthy Fun Kids Run is open kids ages 4-14 years old, who
are looking for a fun and challenging adventure run/walk.
Please complete the attached form and drop off/mail with
entry fee to:
or
Town of Menasha Parks & Recreation Department
2000 Municipal Drive
Neenah, WI 54956
Please make checks payable to the Town of Menasha
Neenah Parks & Recreation Department
211 Walnut Street
Neenah, WI 54956
Please make checks payable to Neenah Park & Rec
Online Registration: Registration is also available at
www.town-menasha.com or www.neenahgov.org. Register
using your online household account. If you don’t have a
household account, you must create one first. The class
number for online registration is: 200000-01.
*Registrations will only be accepted the day of the run if
openings remain.*
REGISTRATION IS OPEN TO
THE FIRST 500 PARTICIPANTS
Entry Fees:
Through June 12 - $15
June 13-July 10* - $20
July 10*-July 11 - $30
*Registrations must be accepted by 12:00PM on July 10 to qualify for
the $20 Entry Fee.
WHEN
Saturday * July 11, 2015
7:00AM Registration
Ages 11-14: 8:00AM Start
1.5 mile with obstacles
Ages 9-10: 8:30AM Start
1.5 mile with obstacles
Ages 7-8: 9:00AM Start
1.1 mile with obstacles
Ages 4-6: 9:30AM Start
.55 mile with obstacles
WHERE
Event check-in and start at O’Hauser Park South Pavilion,
located at:
1987 O’Leary Road
Neenah, WI 54956
Maps of the course will be provided in all packets.
RACE PACKET PICK-UP
Pre-registered participants may pick up race packets at the
O’Hauser Park South Pavilion (1987 O’Leary Rd., Neenah)
between 3:00-6:00PM on July 10.
FREQUENTLY ASKED ?’S
What should I wear?
We suggest wearing comfortable clothing and shoes that
you don’t mind getting dirty. Costumes are welcome!
How dirty will I get?
We guarantee participants will get dirty, wet and sweaty.
There will be at least one area with sand or mud on each
course. Participants will have the opportunity to rinse off at
the end of the course.
Is the run timed?
The event is a challenge, not a race and therefore, it is not
a timed run.
What is the Weather/Refund Policy?
The event will be held rain or shine unless severe weather
occurs. In the event of severe weather, the race may be
delayed or cancelled. If the race is cancelled, there will be
NO refunds.
What is the Cancellation Policy?
Refunds are not offered for the Filthy Fun Kids Run.
Participants should understand and acknowledge that all
fees paid in registration for this run are NOT REFUNDABLE
FOR ANY REASON, under any circumstances, including but
not limited to injury, a scheduling conflict, and/or event
cancellation.
contact information
City of Neenah Parks and Recreation
920-886-6060 ~ www.neenah.ci.wi.us
Town of Menasha Parks and Recreation
920-720-7108 ~ www.town-menasha.com