RUN THE LAKE COLOR RUN
Saturday, September 24, 1 p.m. 5K Start & 2 p.m Fun Run/Walk Start, Windjammer Point Lake St. Louis
All guests encouraged to attend the Lake St. Louis Fall Festival immediately starting after the Run the Lake Color Run/Walk
Schedule: Noon - Race Day registration 1:00 pm - 5K Run Begins 2:00 pm - One Mile Fun Run/Walk Begins 2:30 pm - Awards Ceremony
Costs: Pre-registration: Adults: $25 - 5K Kids: (12 and Under): $10 - 5K or One Mile Fun Run/Walk (before 9/21/06) $15 - One Mile Fun Run/Walk Family: $50 - Includes Two Adults & Two Kids Registrations Late registration or Day of registration (after 9/21/16): $30 - 5K, $20 - One Mile Fun Run/Walk, $12 - Kids & $60 - Family
A portion of race registration will be donated back to a club in Lake St. Louis. Circle one or let us know which club you would like to donate to:
Ambassadors of Lake St. Louis
Lake St. Louis Mother’s Club
Lake St. Louis Water Ski Club
Lake St. Louis Swim Team
Other: ________________
Sign Up: Mail or Drop Off this form with a check to the Western St. Charles County Chamber of Commerce, 207 South Linn Ave., Wentzville, MO 63385. Please make checks payable to: WSCC Chamber of Commerce. You can also sign-up online at http://westernstcharlescountychamber.com.
Packet Pick-up: Thursday, Sept. 22, 2016 & Friday, Sept. 23, 2016 - WSCC Chamber Office (207 South Linn Ave., Wentzville, MO 63385), 9:00 a.m. - 5:00 p.m.
Awards: Top overall male and female racers of the 5K Run. Awards also given to: 1st, 2nd, and 3rd place finishers (male and female) of each class in the 5K Run Classes are: 12 and under, 13-19, 20-29,30-39, 40-49, 50-59, 60-69, 70+
Event Shirts T-shirts will be given to all runners registered before September 21, 2016. If you register after September 21, 2016 shirts will be available on a first come, first serve basis.
SIGN UP FORM Please Fill Out One for Each Participant
Gender: __Male __Female
Age on Race Day:_______
Address:_____________________________________ City:_______________________
State:_______ Zip Code: __________ Phone: (______)___________________
E-mail:_________________________________________
Adult T-Shirt size: S M L XL XXL Youth T-Shirt size: S M L
Waiver of Liability: : I understand that running/walking a race is a potentially hazardous activity. I know that I should not enter a walk/run unless I am medically able and properly trained. I agree to abide by the decision of any race official relation to my ability to safely complete the race. I assume all risks associated with running/walking this event. Having read this waiver, I undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all claims for damages, actions and causes against The Western St. Charles County Chamber of Commerce and any and all sponsors of the event, volunteers, and individual race organizers, arising out of or in connection with my entry in, travel to, participating in, and returning from the Run the Lake Color Run 5K/Walk . I also give permission for the free use of my name and/or photographs, videotapes, motion pictures, recordings, or any other record of this event in broadcasts, telecasts, websites, newspapers, posters, advertising, or any other materials for promotional and marketing purposes by organizations and entities associated with this event. I understand that the entry fees are non-refundable. This event will take place rain or shine. Signature:_____________________________________________ Date:______________________ Parent or Guardian signature required if under the age of 18. Western St. Charles County Chamber of Commerce—636-327-6914 Fax: 636-634-2760 or info@westernstcharlescountychamber.com