blanchard family dentistry winterset city park€¦ · winterset city park at 400 south 9th street...

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Robert Kaldenberg 515-462-4731 [email protected] Will be 9:00 am October 12th at the Winterset City Park at 400 South 9th Street Winterset, Iowa 50273 Children's Race at 8:45 am Race day registration packets can be picked up at the City Park between 7:45 & 8:45 am GetMeRegistered.com/CoveredBridgeRace www.fitnesssports.com Winterset Rotary on Facebook Last Day to Register by Mail: October 9, 2019 Sponsored by RACE DATE: Saturday October 12, 2019 RACE TIME: 9:00 AM Children's Race at 8:45 AM $500 level - Sprinter Union State Bank Rose Acres Farms Montross Pharmacy American State Bank Fareway Food Stores Homefront Real Estate BB & P Feed and Grain Caseys General Stores Madisonian/The Shopper Blanchard Family Dentistry Madison County Health Care Farmers & Merchants State Bank $250 - Jogger Hy-Vee AgriVision Pizza Ranch Lannys Auto Simon Welding Beeler Trucking Bridges Financial Robert Newton Family Newcastle Enterprises Madison County Realty Madison County Abstract Farmers Electric Cooperative McGowen Hurst Clark & Smith Midwest Heritage - A Hy-Vee Co. Judge Lewis House—Bed & Breakfast $100 or less - Walkers Village Bootery Quality Car Care Every Step Hospice Pro Team Insurance The Bakery Unlimited Taber Financial Advisors OmniTel Communications Roush Collision & Restoration Jordon, Oliver, Walters & Smith Breedings True Value Hardware Caldwell Parrish Funeral Home—Winterset Chapel Pine Creek Sports Page Country Cutters Winterset Vet Center Groth Gardens & Greenhouse

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Page 1: Blanchard Family Dentistry Winterset City Park€¦ · Winterset City Park at 400 South 9th Street Winterset, Iowa 50273 ... Blanchard Family Dentistry Madison County Health Care

Robert Kaldenberg 515-462-4731 [email protected]

Will be 9:00 am October 12th at the

Winterset City Park at

400 South 9th Street Winterset, Iowa 50273 Children's Race at 8:45 am

Race day registration packets can be picked up at the City Park between 7:45 & 8:45 am

GetMeRegistered.com/CoveredBridgeRace

www.fitnesssports.com Winterset Rotary on Facebook

Last Day to Register by Mail: October 9, 2019

Sponsored by

RACE DATE: Saturday October 12, 2019

RACE TIME: 9:00 AM Children's Race at 8:45 AM

$500 level - Sprinter

Union State Bank Rose Acres Farms

Montross Pharmacy American State Bank Fareway Food Stores

Homefront Real Estate BB & P Feed and Grain

Casey’s General Stores Madisonian/The Shopper

Blanchard Family Dentistry Madison County Health Care

Farmers & Merchants State Bank

$250 - Jogger

Hy-Vee AgriVision

Pizza Ranch Lanny’s Auto

Simon Welding Beeler Trucking

Bridges Financial Robert Newton Family Newcastle Enterprises Madison County Realty

Madison County Abstract Farmers Electric Cooperative

McGowen Hurst Clark & Smith Midwest Heritage - A Hy-Vee Co.

Judge Lewis House—Bed & Breakfast

$100 or less - Walkers

Village Bootery Quality Car Care

Every Step Hospice Pro Team Insurance

The Bakery Unlimited Taber Financial Advisors OmniTel Communications

Roush Collision & Restoration Jordon, Oliver, Walters & Smith

Breeding’s True Value Hardware Caldwell Parrish Funeral Home—Winterset Chapel

Pine Creek Sports Page

Country Cutters Winterset Vet Center

Groth Gardens & Greenhouse

Page 2: Blanchard Family Dentistry Winterset City Park€¦ · Winterset City Park at 400 South 9th Street Winterset, Iowa 50273 ... Blanchard Family Dentistry Madison County Health Care

Name: ____________________________________

Address: ___________________________________

___________________________________

City, State, Zip:_________________________

Day Phone: _____ - _____ - ________

E-mail: _____________________________

Adult Shirt Size: S M L XL Youth: M L

Age on 10/12/2019: ____ Gender: Male Female

Event Entered: (circle one)

Adults: 5K Run/Walk

Children’s Event 70 yds.(4 & under)

220 yds. (5-7) 880 yds. (8-12)

FAMILY TEAMS: (Circle one) Father-Son Mother-Son Father-Daughter

Mother-Daughter Brothers Sisters Brother-

Sister Spouses Grandparent-Grandchild

My Team Member Will Be:____________________

Age divisions for run/walk are as follows:

14 & under; 15-18, 19-24, 25-29, 30-34,

35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65- 69,

70+ Medals awarded in each age group.

In consideration of your acceptance of this entry, I hereby for myself, my heirs, executors and administrator, waive any and all rights and claims for damages I may have against the city of Winterset, IA; Winterset Rotary, sponsors and officials associated with the “Covered Bridge Race,” their successors and /or assigns for any injuries incurred by me or my minor child in said event. I also hereby authorize any medical treatment deemed advisable by any licensed physician or emergency medical services personnel while participating in this event, and grant permission for any photographs taken of me and/or my minor child dur-ing the event to be published.

X___________________________________ (Signature or signature of guardian if under age 18)

Date:_____-_____-_____ Mail to: Roger Queck - Race Chair,

55 East Jefferson, Winterset, IA. 50273 (If mailing do not mail after October 9, 2019)

Make checks payable to Winterset Rotary

ENTRY FEES Before October 1, 2019:

5K Run/Walk $25 Children’s Race $15

After September 30, 2019:

5K Run/Walk $30 Children’s Race $20

Day of Race $35

Medals to 1st, 2nd, 3rd place finishers in each category

Constructed in 1998 by the Winterset Rotary Club, The Winterset City Park Maze is one of only a few known mazes in the entire country to offer visitors a chance to experience the excitement of wandering through a lush, English-style maze. Explorers of the maze will be entertained by a labyrinth of twists and turns, leading to a delightful English sundial center-piece and a perennial garden. You can also enjoy playing on our beautiful Bocce Court.

For more details see: madisoncounty.com/covered-bridge-festival/