Paws for a Cause 5k Run/Walk

April 29, 2017 10am Event Start Time

Rain or Shine

Discher Park,Horicon, WI 53032

Run/Walk Information

• Registration Time - 8:00am-9:45am

• Pets are encouraged to run alongside of you

• All proceeds will go to the Dodge County Humane Society

• Enter 3 people in the race get the 4th one $15

• Bring 3 non-used pet items get $5 off registration

• Individual Registration - $20

• NO refunds

• Mail Registration forms to 841 Gray Street

• Event is approximately  3 miles long

• For more information about this event please contact Alyssa Jacobson 920-382-9283

• Sure Fire is sponsoring this event

• Checks should be made out to Horicon High School 

Registration Form

Name(please print)_______________________________________________________

Address__________________________________City__________________State______Zip_________________Phone________________________

E-mail_______________________________________________________________

Participation Waiver

Waiver: I hereby absolve and hold harmless Alyssa Jacobson, race officials, and all sponsors for any injuries that happen to me while participating in this 5k run/walk. I further provide that this consent and waiver applies to my heirs, executors, or assignee's. I give permission to Alyssa Jacobson to use my photographic image for spreading the news and all that happens at the race.

 

Liability Waiver Signature:_______________________________________