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    June 24, 2022
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14th Annual 4-H 5k Run/Walk Where: Wells County 4-H Fairgrounds located on the south side of Bluffton, IN off of State Road 1. When: Saturday, July 16,2022 5K Run/Walk Starts at 7:30 AM Individual- $20 Pre-Registered Entry Fee: $25 Race Day $60 Race Day Family Special- $50 Pre-Registration (4 entries. in same envelope, separate forms, same immediate family) Please don't abuse Pre-register Deadline is July 1st, 2022 Pre-register On-line at: https://www.active.com/bluffton-in/ rUMirtg/distance-running-races/wells-county-4h-5k-run-walk-2022?int-72-3-A1 -or- Send completed form with payment to: 4-H 5K Fun Run/Wolk, 1240 4-H Park Road, Bluffton, IN 46714 Make Checks Payable to: Wells County 4-H Foundation (Only those who pre- register are guaranteed a shirt. Shirts will be available to race-day registrants as supplies last) Registration: Race Day registration will begin at 6:45 AM Events-----5K (3.1 Miles)-----Age Groups Boys 14 & Under Boys 15-18 Men 19-29 Men 30-39 Men 40-49. Men 50 & Over Girls 14 & Under Girls 15-18 Women 19-29. Women 30-39 Women 40-49. Women 50 & Over Awards will be present to the 1st Male and Female Overall Winners. Award will also be given to the 1st, 2nd, & 3rd places in each age group. Drinks will be available for participants on the course and adter the race. Information Email: monica.edgeman@gmail.com or vanderkolkmj@gmail.com 14th Annual 4-H 5k Run/Walk PLEASE PRINT CLEARLY! Name:_ Address: City: Email Birthday: __ . State: Zip: Male or Female Shirt Size: YM YL S M L XL XXL Signature: Release Form for 4-H 5K Fun Run/Walk In signing this entry, attest and verify that I have full knowledge of the risks involved in participation of this event and that I am physically fit and sufficiently trained to participate in this event. I understand that my signature signifies that in acceptance of my entry, I for myself, my executor, administrators, and assignees do herby release and discharge the Wells Country 4-H Foundation, all sponsors, their representatives, and successors, from all claims or liabilities of any kind arising of my participation in running/walking the event. I grand my permission to all of the foregoing to any photographs, motion pictures, recordings, or any other records or this event for legitimate purpose. I understand that bikes, skates, scooters or dogs are not allowed. Date: Parent Signature: (Signature of parent or Guardian REQUIRED if Participant is 17 or under 18 years of age.) 2022 $5K E 0-10 14th Annual 4 - H 5k Run / Walk Where : Wells County 4 - H Fairgrounds located on the south side of Bluffton , IN off of State Road 1 . When : Saturday , July 16,2022 5K Run / Walk Starts at 7:30 AM Individual- $ 20 Pre - Registered Entry Fee : $ 25 Race Day $ 60 Race Day Family Special- $ 50 Pre - Registration ( 4 entries . in same envelope , separate forms , same immediate family ) Please don't abuse Pre - register Deadline is July 1st , 2022 Pre - register On - line at : https://www.active.com/bluffton-in/ rUMirtg / distance - running - races / wells - county - 4h - 5k - run - walk - 2022 ? int - 72-3 - A1 -or- Send completed form with payment to : 4 - H 5K Fun Run / Wolk , 1240 4 - H Park Road , Bluffton , IN 46714 Make Checks Payable to : Wells County 4 - H Foundation ( Only those who pre register are guaranteed a shirt . Shirts will be available to race - day registrants as supplies last ) Registration : Race Day registration will begin at 6:45 AM Events ----- 5K ( 3.1 Miles ) ----- Age Groups Boys 14 & Under Boys 15-18 Men 19-29 Men 30-39 Men 40-49 . Men 50 & Over Girls 14 & Under Girls 15-18 Women 19-29 . Women 30-39 Women 40-49 . Women 50 & Over Awards will be present to the 1st Male and Female Overall Winners . Award will also be given to the 1st , 2nd , & 3rd places in each age group . Drinks will be available for participants on the course and adter the race . Information Email : monica.edgeman@gmail.com or vanderkolkmj@gmail.com 14th Annual 4 - H 5k Run / Walk PLEASE PRINT CLEARLY ! Name : _ Address : City : Email Birthday : __ . State : Zip : Male or Female Shirt Size : YM YL S M L XL XXL Signature : Release Form for 4 - H 5K Fun Run / Walk In signing this entry , attest and verify that I have full knowledge of the risks involved in participation of this event and that I am physically fit and sufficiently trained to participate in this event . I understand that my signature signifies that in acceptance of my entry , I for myself , my executor , administrators , and assignees do herby release and discharge the Wells Country 4 - H Foundation , all sponsors , their representatives , and successors , from all claims or liabilities of any kind arising of my participation in running / walking the event . I grand my permission to all of the foregoing to any photographs , motion pictures , recordings , or any other records or this event for legitimate purpose . I understand that bikes , skates , scooters or dogs are not allowed . Date : Parent Signature : ( Signature of parent or Guardian REQUIRED if Participant is 17 or under 18 years of age . ) 2022 $ 5K E 0-10