Let’s start the conversation about addiction!

 

The Wisconsin Council on Problem Gambling & Drug Free Communities of Fond du Lac County presents:

3rd Annual "Start the Conversation" 5K Run/Walk

When: Saturday April 13th, 2019

Where: Lakeside Park, FDL

Registration: Begins December 1, 2019

Registration fee:

$25  * Kids (12 & under) $10

T-shirts may available to purchase for $10 the day of the event. (no guarantee on sizes)

Times:

9:00 AM   - Race Day Registration Opens
10:00 AM - 5K Run/Walk Start
11:15 AM - Kids 100 Yard Race (12 & under)
11:30 AM - Awards Ceremony

Follow the link and view Route B for the race route at Lakeside Park!
https://www.fdl.wi.gov/cofuploads/approved_race_routes.pdf

Sign up to volunteer: http://www.fondyvolunteers.org/need/detail/?need_id=320737

For Park Ordinance for dogs visit:  https://ecode360.com/documents/FO3072/source/LF991804.pdf

For Event Registration and Payment Online Click Here

or mail in registration application below.

April 13th, 2019 "Start the Conversation" 5K Run/Walk Official Entry Form & Waiver
Mail Registration with check or money order to:
WCPG
1585 Allouez Ave.
Green Bay, WI 54311

NAME_________________________________________________________________________________

AGE (on race day) _____________

ADDRESS_______________________________________________________________________________

CITY/STATE/ZIP___________________________________________________________________________

PHONE__________________________________________________________________________________

EMAIL___________________________________________________________________________________

*Moisture Wick shirts available (optional, additional $5, circle one)

Shirt Size (optional, circle one)
Child S      Child M     Child L    Child XL    Adult S    Adult M    Adult L    Adult XL     Adult XXL

EVENT (circle one)       5K Run       5K Walk       Kids 100 Yard Race

T-shirts are not included with registrations after 3/22/2019, but may be available to purchase for $10 the day of the event. (no guarantee on sizes)

I understand that running, walking, or participating in a race is potentially hazardous. I will not enter and participate in this event unless I am medically able to do so, in good physical health, and properly trained. I agree to abide by any decision of a race official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with my participation, including but not limited to: falls, contact with event participants or volunteers or vehicles, weather effects, course conditions, and traffic; all such risks being known and appreciated by me. By signing this waiver, I attest that I have read the rules of this race and agree to them. I, for myself and anyone entitled on my behalf, waive and release the event sponsors, their representatives, and successors from all claims or liabilities arising out of the participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of the event for any legitimate purpose.


SIGNATURE ______________________________________________________ DATE________________________
(parent if under 18)

No refunds for cancellations.


Printing

Wisconsin Council on Problem Gambling

Event Support

Drug Free Communities of Fond du  Lac County
Fond du Lac School District
Wisconsin Council on Problem Gambling