Mendota Tri County Fair’s
BARNYARD BOLT
 5K FUN RUN/WALK
SUNDAY SEPTEMBER 2
REGISTRATION 7 AM
RACE START 8:30
Come as you are or as your favorite barnyard critter or character and join us on our first ever 5K run/walk. Awards for best finishers, best theme costumes, and more. Registration form online at www.tricountyfair.net or visit us on Facebook at Mendota’s Tri County Fair.


MENDOTA TRI COUNTY FAIR BARNYARD BOLT 5K FUN RUN/WALK SUNDAY SEPTEMBER 2, 2018
Registration begins at 7 AM. Race will begin at 8:30 AM.
Official t-shirts for participants registered by August 17, 2018. No guarantee of shirt for registrants after this date.

Awards to first overall male and female runners.
Awards to Top 3 in all age groups. Awards for best use of run theme.
Entry fee $20 if received by September 1. $25 day of race.

AGE DIVISIONS Under 14     14–18     19-24     25-34     35-44     45-54     55-64     65 and over

Name ________________________________ Address_______________________________ City, State____________________Zip_______
Phone_______________ Date of birth_________ Email__________________________________
Age as of Sept 2, 2018______ MALE ___FEMALE___ EVENT 5K Run _____ 5K Walk _____
SHIRT SIZE (please circle) YL S M L XL XXL

I hereby release, waive discharge, and covenant not to sue the MENDOTA TRI COUNTY FAIR ASSOCIATION INC, CITY OF MENDOTA, MENDOTA TOWNSHIP, TROY GROVE TOWNSHIP, DIRECTORS, AGENTS, VOLUNTEERS, EMPLOYEES,, PARTICIPANTS OR ANY SUBDIVISION THERE OF from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefor on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releases or otherwise while participating in this event. I further hereby assume full responsibility for any and all risk of bodily injury, death or property damage and agrees to indemnify and hold harmless the releases and each of them from any loss, liability, damage, or cost they may incur due to the participation of the undersigned in this event. I have reasonably trained for this event and attest to my ability to safely participate in this event.

Signature of participant (or parent/guardian if under 18)_______________________________________________________________________