for first race
5k and 1 Mile Run/Walk
Donations go to WV Track
City____________________ State__________ Zip___________________
Email Address___________________________ Phone________________
Age on Race Day _______ Sex ____M ____F
Event: ____ 5K ____ 1 Mile
Pre-Registration includes a
t-shirt, due on
5K with t-shirt $10 _________
1 Mile with t-shirt $8 _________
Shirt Size: (adult sizes) ___S ___M ___L ___XL
Late Registration will be taken after February 12 up to the day of the race, but there will be no shirts given out.
5K without shirt $10 _________
1 Mile without shirt $8 _________
Make checks payable to: West Valley School District
Send Money/Checks to: Stacy Sundborg
The event will be held between the
Feel free to contact Stacy Sundborg with any questions you may have. (509) 966-1635
Please read and sign the Release Waiver in order to participate in this event. If you are under 18 years of age, a parent/guardian signature is required.
Race Release Waiver:
I know that running any race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, including high heat and/or humidity, cold and slippery wet conditions, and any other potential risks along the course will be known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Stacy Sundborg, West Valley School District, all the volunteers involved on the race day, and every sponsor involved. I understand that bicycles, skateboards, baby joggers, wagons, roller skates or inline skates, and animals are not allowed in the race and will abide by this guideline.
Participants Signature Date
Parent of Guardian if under 18 Date