2019 WW5k Online Registration

 

The Wanakee Wilderness 5K is a cross-country race through the paths and trails of Wanakee Methodist Center. The event is approved and sanctioned by USATF. It will be conducted in accordance with national and international rules and regulations of the sport to provide a safe environment for the participants and spectators. Complete the online form fields below to register for the race. Upon clicking CONTINUE, you will be taken to a PayPal extension of the site for payment processing. The preregistration cost is $25. We need to add a $1 admin fee to cover processing costs. No worries if you don't have a PayPal account, look for the credit card option. Preregistration closes on August 16th. Race day registration is $30.

 

First Name
Last Name
Gender
Date of Birth (mm/dd/yyyy)
Age (As of Aug 17, 2019)
Email
Email Again
Daytime Phone
Address 1
Address 2
City
State / Zip /
T-Shirt Size

Participant Waiver of Liability

I know that running any road or cross-country race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also assume any or all other risks associated with running or attending the event including but not limited to falls, contact with other participants, the effects of the weather and the condition of the course, all such risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry fee, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Wanakee UMC, any subsidiary & facilities it utilizes, all municipalities in which the race is held, the race committee, volunteers, any and all sponsors, including their agents, employees, assigns or anyone acting for or on their behalf or anyone else associated in any way with the race, from any or all claims or liability for death, personal injury or property damage of any kind of nature what so ever arising out of, or in the course of, my participation in this event(s). This waiver extends to all claims of every kind or nature what so ever, foreseen and unforeseen, known or unknown. By entering this event, I am granting permission to Wanakee UMC to use any pictures or likenesses of me secured at the event in any way they see fit without review, restriction, or compensation.

 

I have read, understand, and agree to this waiver for myself or for this participant for which I am the legal guardian.

 

In addition to my race fee, I would like to make a donation to the camp to benefit camper scholarships. (Donations are tax deductible. Contact mail@wanakee.org for a receipt or pick it up on race day.)

My Donation:
No Donation
$10.00
$20.00
Other Amount ($)

 

Enter your full name (legal signature):