2017 Frankton Heritage Days 5K Stampede Registration – 42nd Annual Frankton Heritage Days Festival

Date & Time: Saturday September 16, 2017 @ 8:30 am
Registration: 7:30 am @ Frankton High School Parking Lot
Entry Fee: Pre-register $15.00 / Morning of event $20

Contact Info: Carrie Dietzer 765-623-9045 / cbprophet@yahoo.com

Age Divisions: 12 and under, 13-20, 21-30, 31-40, 41-50, 51-59, 60+

Awards: All participants will receive a T-shirt, prizes will be given for 1st place in each age category.

Race Day Info: Course will be marked, water break at ½ way point, times given at each mile, and prizes will be awarded after the run.

Event Name:

5K Stampede

Name*

Street Address*

City*

State*

Zip*

Daytime Phone*

Evening Phone*

Age Division

12 and Under
13-20
21-30
31-40
41-50
51-59
60+

T-Shirt Size

Small
Medium
Large
X-Large
XXL (+ $2.00)
XXXL (+ $2.00)

I agree to hold harmless, Frankton Heritage Days, it’s Directors, and Officers from any and all causes of action, suites, promises, claims, and demands whatsoever which may arise from our participation in the run and or festival.

TYPE YOUR FULL NAME IN THE BOX BELOW TO SERVE AS AN ELECTRONIC SIGNATURE

Full Name for Electronic Signature*

Date*