Registration:
First Name:
Last Name:
Address:
City:
State:
WI
IN
KS
MD
MI
OR
TN
UT
Zip Code:
Email:
Phone:
T-Shirt Size:
Adult Small $25.00 USD
Adult Medium $25.00 USD
Adult Large $25.00 USD
Adult X-Large $25.00 USD
Adult XX-Large $27.50 USD
Youth Medium $25.00 USD
Youth Large $25.00 USD
Event:
5K Run/Walk $25
Run Age Divisions:
Up to 13
14-18
19-29
30-39
40-49
50-59
60-69
70+
YES
I agree to participate in this event at my own risk, and in doing so, absolve organizers of the Village run, volunteers, Mukwonago Area Schools and the Village of Mukwonago of any responsibility for my well- being.