16th Annual Sparta Stampede

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16th Annual Sparta Stampede

(Proceeds benefit the Boys & Girls Club of Sparta)

What: 5 mile run or 2 mile run/walk
When: Saturday, June 11, 2016 at 8:30 a.m. (both 5 and 2 mile)
Where: Sparta Memorial Park located at the end of E. Main Street. The 1st shelter on the North Shore of Perch Lake
Pre-Registration: 5 Mile Run or 2 Mile Run/Walk- $20.00 (plus $7.00 per T-shirt)

(Through May 26, 2016) Family Household Entry-$40.00 (please fill out a separate entry for each family member)

Packet Pickup- Race Day at Park Shelter #1

*Registration must be received by Thursday, May 26th, in order to guarantee a t-shirt

Race Day

Registration: 5 Mile Run or 2 Mile Run/Walk - $25.00 (plus $7.00 per T-shirt)

(Until 8:00AM) Family Household Entry-$45.00 (please fill out a separate entry for each family member)

Packet Pickup-Race Day at Park Shelter #1

*Race Day Registrants cannot be guaranteed a t-shirt
Registrations Options: 1. Mail completed form to: Boys & Girls Club of Sparta, 1000 E. Montgomery St., Sparta, WI 54656

Include check payable to Boys & Girls Club of Sparta

2. Register & pay online by visiting: www.bgcofsparta.org. Click on Sparta Stampede link.

3. Email completed form to: pelsen@bgcofsparta.org

and pay over the phone with Visa or MasterCard by calling 608.269.2582
Awards: Awards will be presented to the overall 1st - 3rd place male and female in the 5 and 2 mile

Medals will be awarded to the 1st - 3rd place male and female winners in each age group

Age groups: 5 Mile Run: 19 and under, 20-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65+

2 Mile Run/Walk: 6-9, 10-13, 14-19, 20-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65+

* 5 & Under- No Chip Timing. Participation ribbons will be given.
Refreshments: At shelter after the race


please print Clearly & fill out completely so racing information is accurate
Name____________________________________________________ AGE_______ M/F______ Phone__________________
Address_________________________________________________ City_________________ State____ Zip___________
Contact Email______________________________________________ Choose Race: ___ 5 mile run OR ___ 2 mile run/walk
Choose Shirt: ____No, thank you ___Child M ___Adult S ___Adult M ___Adult L ___Adult XL ___Adult XXL (add $1.00)

($7.00 per T-shirt) All entries received after Thursday, May 26th, will not be guaranteed a t-shirt

In consideration of my signing this agreement, I hereby for heirs, my administrators, and I, assume any and all risks which might be associated with the run. I waive any and all rights and claims for injuries or damages which I may have against the organizers and sponsors of this event, their representatives, successors, and assigns, for any and all injuries or damages of any kind whatsoever suffered by me as a result of taking part in the run/walk and any activities.

Signature__________________________________________________________________ Date_____/_____/_____ (Parent must sign if entrant is under the age of 18)

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