Friends of the Horicon National Wildlife Refuge
HORICON NATIONAL WILDLIFE REFUGE
CELEBRATION 5K RUN/WALK
At Horicon Marsh on Saturday, October 7, 2017
LOCATION: Horicon TernPike Auto Tour Route at Horicon National Wildlife Refuge, about three miles east of
Waupun, N5445 Hwy 49. FREE PARKING This event is part of National Wildlife Refuge Week and celebrates
the Refuge System. All proceeds to benefit the Friends of Horicon National Wildlife Refuge. Open house at the
Visitor Center with free drawing and activities.
9:00 a.m – 9:45 a.m.. Registration 10:00 a.m. Start 5K Run/Walk 11:15 a.m. Awards
ENTRY FEES: Pre-registered: Ages 12 and under: FREE (with l-s Performance shirt - $12.00). 13 and Over:
$20.00 (l-s Performance shirt included). T-shirts guaranteed to those registered by September 26, 2017.
Race day: Add $5.00 to all entry fees.
AWARDS: Special awards will be presented to the first place male and female finishers in the 5K Run and 5K
Walk. 5K run awards will be 3 deep in both male and female categories in the following age groups:
19 & Under, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & Over. 5K walk awards will be 3 deep for both male
and female in the following age groups: 34 & Under, 35 & Over.
REFRESHMENTS: Water, fresh cider, and apples with caramel dip.
COURSE: The race will begin and end near the main parking lot. The paved course is closed to traffic and
accurately measured. There will be mile markers, and a water station. Restrooms are fully accessible.
REGISTER: Make checks payable to: Friends of Horicon National Wildlife Refuge and mail with the entry form
to: Liz Roy, N5806 Esterbrook Rd, Fond du Lac, WI 54937.
INFO: Liz Roy at (920)921-2281 (after 6 p.m.) Web sites:<http://fonddulacrunningclub.com>, http://midwest.fws.
gov/horicon Results posted on www.fonddulacrunningclub.com two weeks after event.
THANK YOU: Fond du Lac Running Club, Friends of Horicon National Wildlife Refuge, U.S. Fish and Wildlife
-------------------------------OFFICIAL ENTRY FORM AND WAIVER------------------------------
I know that participating in a road race is a potentially hazardous activity. I should not enter and participate
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 participating in this event including, but not
limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity,
traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this
waiver and knowing these facts and in consideration of you accepting my entry, I, for myself, and anyone
entitled to act on my behalf, waive and release the Fond du Lac Running Club, Friend of Horicon National
Wildlife Refuge, US Fish and Wildlife Service, Department of Interior, Federal Government, their
representatives and successors from all claims or liabilities of any kind arising out of my participation in this
event even though that liability may arise out of negligence or carelessness on the part of the persons named
in this waiver. I grant permission to all of the foregoing to use any photographs, recordings, or any other of this
event for any legitimate purpose.
_______________________________________ Date ____________
Signature of Runner/Walker (If under age 18, Parent/Guardian Signature required)
NAME: __________________________________________ SEX: Male ____ Female _____
ADDRESS: _______________________________________ AGE (as of 10/7/2017): _______
CITY: ____________________________ STATE: ________ E-mail:___________________________
ZIP CODE: __________ PHONE: (____)________________ PLEASE CIRCLE:
PLEASE CIRCLE: SHIRT SIZE: Adult sizes only
PRICE: no shirt w/shirt race day Small Medium Large X-Large
12 & UNDER: FREE $12 add $5
13 & OVER: NA $20 add $5 Event: 5K Run 5K Walk*
* WALKERS MUST WALK!!
ONLY ONE PERSON PER FORM - FORMS MAY BE DUPLICATED
|Horicon National Wildlife Refuge Celebration 5K Run/Walk