Benefi t for the Forrest Goetsch Charities

5 mile Run/Walk 2 mile Run/Walk

Dale’s Weston LanesWeston, Wisconsin

Saturday, June 18, 2016

www.ForrestsRun.com

Event Sponsors

Forrest Goetsch Charities, an offi cial 501 (c) (3) nonprofi t organization, is dedicated to recognizing outstanding achievement in our communities by youth and or organizations who have helped others through diffi cult

times or who have personally overcome challenges in their lives.

Tax deductible donations to Forrest Goetsch Charities are greatly appreciated.

• Detach and mail registration form and waiver (on reverse side) with payment. Photocopy as needed.

• Please make checks payable to: Forrest Goetsch Charities (Race fees are non-refundable) $20 until May 15th, 2016$25 May 16th – May 31st $30 June 1st through Race Day

Mail to: Forrest Goetsch Charities, R11581 Sportsman Lane, Schofi eld WI 54476

• Or register online at: www.ForrestsRun.com

Gender: M or F Age on Race Day:

Race Entry (select one): � 2 Mile � 5 Mile

T-Shirt Size: Youth M L XL Men’s S M L XL XXL XXXLWomen’s S M L XL XXL

Additional T-shirts may be purchased for $12 ordered prior to May 31st. Please indicate size and quantity:

� I can’t make the run, but I’d like to make a tax deductible donation to Forrest Goetsch Charities, an offi cial 501 (c)(3) nonprofi t organization. (Please fi ll out registration form so a receipt can be forwarded to you).

Forrest’s Run Entry Form

Please sign waiver on reverse side for your registration to be complete.

TEAM NAME & CAPTAIN (IF APPLICABLE)

LAST NAME FIRST NAME

ADDRESS / STREET

CITY STATE ZIP

EMAIL ADDRESS

PHONE

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Additional Sponsors: • Crystal Finishing

Systems • First Impressions, SC• Marathon County

Tavern League• Prolamina • Peoples State Bank• Urology Specialists

of Wisconsin

The Employees Of The Employees Of

• 2 Mile and 5 Mile Run/Walk (Flat, Fast & Fun Course)

• Chipped Timing with official Race Results posted on website.

• Water and aid station(s) throughout course.

• Prizes awarded for Corporate and Family/Friend Teams: visit www.forrestsrun.com for more information.

Friday, June 17 5-8 p.m. Race Registration & Packet Pick-up

at Dale’s Weston Lanes

Saturday, June 18 7:00-8:30 a.m. Race-day Registration

& Packet Pick-up (Music/Door Prizes & More)

8:45 a.m. Pre-Race Instruction, Team Introductions & National Anthem

9:00 a.m. Race Starts (2 Mile & 5 Mile start together).

• Walkers and strollers are asked to start at the back of the group.

• Post Race Awards Ceremony, Refreshments, and Live Music for all participants.

Where: Dale’s Weston Lanes 5902 Schofield Avenue Schofield WI 54476

NOTE: NO DOGS OR PETS WILL BE ALLOWED ON THE COURSE OR AT THE EVENT

2 Mile and 5 Mile Run/Walk Saturday, June 18th, 2016Capped at 2,000 participants

$20 until May 15th

$25 May 16th – May 31st

$30 June 1st through Race Day

T-shirt/goodie-bag guaranteed to all registrations received by May 31st.

• Team Registration fee: Runners must register individually and indicate team name and captain

• Race fees are non-refundable. • Bib numbers are non-transferable. • T-shirts while supplies last to late

and race day entrants.

Travel and Hotel Information:Village of Weston: www.westonwisconsin.org

Wausau Visitor & Convention Center: www.wausaucvb.com

Terms of Participation

Assumption of Risk and Liability WaiverI acknowledge and understand that participating in

a running/walking race is a potentially hazardous

activity. I acknowledge that I should not enter this

event and run/walk unless I am medically able to do so

and properly trained. I assume all risks associated with

participating in this event including, but not limited

to: falls, contact with other participants, the effects of

weather, traffic, and course conditions, all such risks

being known and understood by me.

I hereby acknowledge and understand that Forrest

Goetsch Charities assumes no responsibility or liability

with regard to my participation in this event. Having

read this waiver in full and acknowledging my under-

standing of its intent and purpose and in consideration

of exercising my option to participate in this event, I,

on behalf of myself and on behalf of any participant for

which I have legal responsibility, do hereby release and

discharge Forrest Goetsch Charities, and all sponsors,

representatives (including event volunteers), agents

and employees of any of them, from all claims or

liabilities of any kind arising out of my participation in

this event, including any claim or liability for damages,

even if the damages or injuries are alleged to have

arisen in full or in part by or due to the negligence of

Forrest Goetsch Charities, its representatives, agents,

volunteers, sponsors or employees thereof.

Initial to indicate you have read Terms of Participation/

Assumption of Risk and Liability Waiver (required):Many people know Forrest Goetsch as the 14-year old D.C. Everest student who collapsed and died during warm-ups at cross-country practice on September 21, 2009, but that is just the sad conclusion to a story that ended way too soon.

Forrest was born with a rare facial deformity requiring many jaw surgeries before even starting kindergarten. Despite the many medical challenges that Forrest had

to face in his short life, he had great perseverance, dedication, determination and motivation to succeed in life, school and sports — especially running.

Forrest Goetsch Charities has been established in memory of our 14 year old son. Because Forrest’s life here on earth had such a profound effect on others, we wanted to celebrate his life and honor his memory in a permanent fashion.

Event Overview Race Registration Fees Liability Waiver

Schedule of Events (Rain or Shine)

— Steve and Paula Goetsch

RACE ENTRANT SIGNATURE

DATE

PARENT/GUARDIAN (IF ENTRANT IS UNDER 18 YEARS OLD)

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