Saturday, September 28th, Ralston Park, Warsaw Illinois

NEW THIS YEARNEW THIS YEAR

Chip Timing with gun start & online

registration by J3 Events, Inc. Results posted at

www.j3timing.com. Chips adhere to race bib. Bib

must be attached to the FRONT of shirt/shorts.

Certified Massage Therapist Monica Thompson on-site to provide complimentary post-

race massages to race participants!

Free Entry for 9 and under! Low Entry Fees! Family Discounts!

To promote a healthy lifestyle and to encourage family

participation!

Finish Line Photos

Will be available for purchase!

AWARDSAWARDSThe overall male & overall female will be crowned with a Viking helmet and earn the title of Warsaw Warrior!

Trophies: Top 3 male & Top 3 female overall finishers. Top 3 male & Top 3 female finishers in each age group. Age Groups: 9 & under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60+ (No duplication of awards)

Mail application & entry fee (payable to WCC) to:Warsaw Warrior 5K, c/o Molly Hurley, 324 Main St, Warsaw, IL 62379

One Runner/Walker Per Form. Please print clearly.

Name Phone ( )

Address City State Zip

Email

Gender male female D.O.B. / / Age on September 28th, 2013T-shirt Youth: M L Adult: S M L XL XXL (2.00 additional) 3XL (2.00 additional)

Entry FeeIf registered on or before September 17th If registered after September 17th Age 9 + under

Age 14 and up $15 Age 10-13 $10 Age 14 and up $20 Age 10-13 $15

FREEFamily Discount (See reverse for details) $10 $15 $10In order to receive Family Discount must provide: Name of Full Price Family Member __________________________________________________________________

**MUST READ, SIGN AND DATE WAIVER LOCATED ON THE BACK OF THIS FORM **Participants from the free age group are not eligible for a free t-shirt. One can be purchased for $10.

_______________ RACE BIB NUMBER (STAFF USE ONLY)

EVENT SCHEDULE

7:00 a.m. Check-in Opens

7:45 a.m. Check-in Ends

8:00 a.m. 5K Run/Walk (3.1 miles) 9:30 a.m. Awards Ceremony

10:00 a.m. Septemberfest

ENTRY FEES

Registration On/Before 9/17/13Age 14 and up: $15 Age 10 13: $10

Age 9 and under: FREE

Registration After 9/17/13Age 14 and up: $20Age 10 13: $15

Age 9 and under: FREE

Website:Online Registration: www.onestoprace.comContact Information: Molly at Vintage Vixen (217)256-4550 or Melisha at WarsawWarrior5k@gmail.com

Warsaw Warrior 5K (3.1 mile Run/Walk)Come run with us for your chance to win the title of The Warsaw Warrior!Come run with us for your chance to win the title of The Warsaw Warrior!

Time and Place:September 28th, 2013, 8:00 a.m. start, Ralston Park, Warsaw IL. Race day registration and packet & race bib (with timing chip) pick-up at 7:00-7:45 a.m. Event day registration is welcome. You may also register online at: ww w.onestoprace.com Walkers welcome! Strollers and headphones allowed. Please no pets, bicycles, rollerblades, skateboards, scooters, etc.

Eligibility, Family Discounts, & T-shirt Information:Free 9 and under participants must be accompanied by an adult. Free registrants are eligible for age group awards, chip-timing, but no free t-shirt. This age group can purchase a t-shirt for $10. Free registrant age group participants must register. Please note: Children in strollers cannot register as participants. First family member pays full price and each additional family member living under the same roof enjoy a $5 discount (Exception: No entry fee shall be less than $10, except free group). All PRE-registered paid participants are guaranteed to receive a t-shirt. Late registrations will receive shirts while supplies last.

Optional Early Race Packet Pick-up and Late Registration:When: Friday, September 27, 3:00 p.m. - 6:00 p.m.Where: Vintage Vixen Boutique & Gallery, 324 Main St., Warsaw ILContact: Molly at (217)256-4550 or Melisha at WarsawWarrior5k@gmail.com

Course Description:This scenic race starts and finishes at splendid Ralston Park. Youll run past a breathtaking bluff view overlooking the Mighty Mississippi River along with three States from an area known as The Point. A State Memorial, commemorating the site of Ft. Edwards, a strategically located US Army post during the War of 1812, marks the location. You will wrap around this area, passing Ralston Park, and on to our lovely Main Street. Following this, youll come upon the steep descent of Elevator Hill. The route then turns along the Mississippi River flats. You will pass Warsaw's historic Battery Factory as you turn to face the race's challenging "Warrior Hill", which is about 2/3 of the way through the race. Enjoy the incredible view, as the course weaves you through the picturesque, historic town of Warsaw. The route has many historical sites, and the streets are lined with beautifully restored homes of various architectural styles.

Water Stations, Nutrition, and Medical:Two water stations will be on the course. Post race nutrition and water will be provided for registered participants. Hancock County EMS on-site.

Septemberfest:Bring the family along. Once the run is complete, stay at Ralston Park to enjoy the festivities of Septemberfest! Its a family friendly day of entertainment, kids games, food, crafts, and other activities celebrating life in a small community. Check out the Septemberfest Facebook page for more details!

Proceeds will go toward future community improvements.

Waiver & Release of Liability and Media Release Form:

WAIVER: I know that running or walking a road race is a potentially hazardous event, and I should not enter and run or walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I assume all risks associated with running or walking in this event including, but not limited to falls, contact with other participants, the effects of weather, including high heat and /or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Warsaw Warrior 5K Committee, the City of Warsaw, Warsaw Police Department, Warsaw Riverfront, or any other sponsors of this event, their representatives and agents, from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise from negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, records or any other record of this event for any legitimate purpose. I understand that if the Race cannot be held due to inclement weather, or any act of God or circumstances beyond control, there will be no refunds. Registration is final, no refunds.

FOR PARTICIPANTS UNDER THE AGE OF 18:

This is to certify that I, as parent/guardian with legal responsibility for this participant, (including a non-participant child in stroller) do consent and agree to his/her release as provided above of the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incidental to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

Signature Required Relationship if Parent/Guardian Date

(Parent or Guardian if under 18) Emergency phone ( )

http://www.www/