FRIENDS OF THE BRANCH RIVER WATERSHED RUN/WALK FOR OCT. 7TH

2nd Annual Dodge Preserve Trail Run/Walk Saturday October 7rh—Non-Competitive trail run/walk @ 9 am, kids run at 10 am (approx. 3/4 mile). 5K route well marked but more/less loops are encouraged if you desire! Trails close at 12 pm. Directions: Highway 10 East through Whitelaw. Take Highway T North off Hwy 10 about ½ mile, turn Left on San Road, then take next Right onto Preston Road. Watch for Dodge Preserve sign on the Right just before a large curve. Plug 11006 Reifs Mills Rd Whitelaw, WI into GPS and watch for signs. Watch for signs to park; walk in to either register (7:45-8:45) or sign in if you pre-registered. No on-line registration. Proceeds benefit Friends of the Branch River’s Vickie Mayer Scholarship Fund and also the beautiful Dodge Preserve. Refreshments and snacks will be provided. For more information, call Al Klingeisen at (920)901-5166 or Emily Endter at (920)323-3486. Updates will also be found on Friends of the Branch River Facebook page. Make checks out and detach sheet to “Friends of the Branch River”. Either send in to P.O. Box 301 Whitelaw, WI 54247 prior to trail run/walk or pay morning of event. First Name:_________________________ Last Name:__________________________________ Family (4+ members):____________________________________________________________ Address:_____________________________________ City:______________________________ City:_________________________State:_________ Zip Code:___________________________ Phone:__________________________ E-mail:________________________________________ **Include Gender and Ages of Individuals/Family Members. Registration Options: (Check/circle appropriate choice, # of people) o ½ mile Kids Run $10 10 years and under o Trail Run/Walk Individual Adult $20 o Trail Run/Walk Ages 6-12 $10; Ages 13 – 17 $15 o Trail Run/Walk Family Rate (4+ members) $40 SHIRTS: Circle choice(s) Adult SMALL MEDIUM LARGE XL Youth SMALL MEDIUM Waiver: I know that running/walking is a potentially hazardous activity and I should not participate unless I am medically able. I agree to abide by any decision of a race official relative to my ability to safely run/walk. I assume the risk of running/walking the trails having read this waiver and knowing these facts and in consideration of you accepting my entry. I hereby waive and release all sponsors, personnel, and organizations connected to this event including but not limited to Dodge Preserve property and Friends of Branch River Watershed organization, from all claims and liability arising from injuries or damage to my property as a result of my participation. I further give Friends of the Branch River Watershed permission to use my name and photograph in any media account without limitation and/or compensation. All images are owned by Friends of the Branch River Watershed. I acknowledge that I fully understand the terms of this waiver and will hereby execute it with intent to be legally bound hereby. Signature: (parent/guardian must sign for participants under 18)_______________________________________ Emergency Contact:____________________________ Phone:______________________ Date:_____________