Male ___ Female ___
Grade level ___ I am a Kids for Running trainer ___
*Second-graders may run the 5K, but we recommend the
Fun Run for them. Awards are given to runners in grades 2-6.
School ___________________________________
Runner’s Name _____________________________
Address with zip code ___________________________________________________________
Phone _____________________________
E-mail _____________________________
Tee shirt size needed:
Youth: small__ medium__ large__
Adult: small__ medium__ large__ xlarge __
Members of the Boys & Girls Club of Green Bay may register for free, but only for pre-registration (not on race day). Bring your registration form to either of the Boys & Girls Club locations no later than May 22. Do not mail it to the Fox Trot address._______________________________________________________
PRE-REGISTRATION (check the appropriate line)
___ 5K, $10 (free for Boys & Girls Club members)
___ Fun Run, $7 (free for Boys & Girls Club members)
Both options include tee shirt, goody bag, water bottle, and finish line ribbon.
Send a check, payable to Fox Trot, to:
Fox Trot, 1161 Cardinal Street, De Pere, WI 54115
Postmark deadline for tee shirt option is Friday, May 22 (in the mail by then). For no shirt option, deadline is Friday, May 29. If you miss the deadline, register on race day June 6.
_______________________________________________________
ON-SITE REGISTRATION (check the appropriate line)
___ 5K, $12
___ Fun Run, $9
Includes goodie bag, water bottle, and finish line ribbon, but no tee shirt.
________________________________________________________
WAIVER*--required for pre-registration and race day registration
I understand the potential hazards of participating in the Fox Trot. The registrant is physically fit and will be prepared to participate in this athletic event. I release, discharge and hold harmless all sponsors, organizers, volunteers, and their representatives from any and all claims for injury or damages associated with the Fox Trot. I grant full permission for sponsor and organizer use of any photographs taken during the Fox Trot.
I understand that the registration fee is non-refundable. The registrant will be accompanied by an adult
before the run starts and after he/she finishes.
_________________________________ __________________
parent/guardian signature required date* Kids for Running coaches: If you are registering for yourself,
all but the last sentence above applies to you.
