DODGE COUNTY HUMANE SOCIETY AND MARSH VIEW VETERINARY CLINIC
LABOR DAY, SEPT 6TH
Dodge
County Humane Society &
Marsh
View Veterinary Clinic
2nd
Annual “Run For The Paws”
10K
Run, 5K Run
1
Mile Fun Run/Walk
Labor
Day, Sept. 6, 2010
&
47th
Annual
Parade
& Korn Karnival
Join
Us For A Great Family Day at the
Community
Korn Karnival and Labor Day Parade
FFA Breakfast • Entertainment • Food Stands
Children’s Games Dodgeball Tournament Plus Much More
The “Run For The Paws” is a fundraiser to help the
The Humane Society is a nonprofit organization which relies on
donations, volunteers, fund raising events, adoption of pets and grant funding
to meet their daily operating expenses,
Unfortunately, due to the economy, the Humane Society is seeing
extremely high surrender
rates of pets. Plus, combined with the significant reduction in
donations, the Humane Society is facing a huge financial burden
All proceeds of the runs will benefit THE DODGE COUNTY HUMANE SOCIETY
Plus, we have organized the run around
the 47th Annual
the Run, please join the Randolph FFA for their annual breakfast at
the high
school, watch the parade and then stay for the day at the
enjoy entertainment, children?s games, a dodgeball tournament,
food stands
and FREE Corn on the Cob until gone.
Race Guidelines
Race Begins at The
Race Start Times:
10K/5K Run - 7:00am • 1 Mile Fun Run/Walk - 8:30am
Awards:
10K/5K Runs: Medals to 1st - 3rd Men and Women?s Divisions
1 Mile Fun Run: Medals to
1st - 3rd
Youth Divisions:
1st - 2nd Grade/3rd - 4th Grade/5th - 6th Grade/7th - 8th Grade
Finisher
Ribbons to all,
T-shirts
for all individuals registered prior to August 30, 2010.
T-shirts available race day on a fi rst come/fi rst serve basis
REGISTRATION FORM
10K
Run - $25 5K Run - $25 1 Mile Fun Run/Walk - $10
Name:
________________ Address:
Phone:
( )____________ E-mail: ___________________________ Grade in School (fall
2010):_____
Age
on Race Day: ____ Shirt Size: Adult:
S___ M___ L___ XL___ XXL ___ Child: L___
I
would like to make an additional donation to The Dodge County Humane Society:
$______
We
would like to have breakfast at the
Tickets:
____ Children Under 6 _____ Children Under 12 _____ Adult(s) Total Due for
Breakfast $_______
Total
for Run: $________ + Total for Breakfast: $______ + Additional Donation:
$________ = $________ (Total Balance Due)
I
know that participating in a 10K/5K/1 Mile Run/Walk is a potentially hazardous
activity. I certify that I am
medically
able and properly trained. I assume all risks associated with the running of
this event, including,
but
not limited to fall, contact with other participants, animals, the effects of
the weather, traffi c, and the
conditions
of the roads all being known to me. I hereby release The Dodge County Humane
Society, Marsh View
Veterinary
Clinic, The Kiwanis of Randolph, Race Personnel, Race Director, and all
sponsors from all liability for
injuiries
or damages and hereby waive any and all rights for claims of injury or damage.
Signed:
_____________________________________ Date: _______________________
Parent
or Guardian?s Signature if Under 18 Also Required
Please
submit Payment and Registration by August 30th to:
Or you may register on-line at
www.active.com
or download entry form at: www.randolphwi.net
All Proceeds Benefit the
N6839 State Road 26,
920.386.0000
Run/Walk Sponsored by:
www.marshviewvetclinic.com
920-326-3020
J-Hawk Aquatic Club




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