THE SPOOKTACULAR

5 K A N D 1 M I L E F U N R U N O R WA L K !
sponsored by WMS Student Council
SATURDAY, OCTOBER 31ST HALLOWEEN!
ANY AGE CAN PARTICIPATE!
WEAR COSTUMES!

The 5K will start at Worthington Middle School at 9:00am. The 1 mile walk or run will start at Worthington Middle School
at 9:45am. Please arrive at least 30 minutes ahead of time to receive your t-shirt. Dress in running clothes or dress in
costume! Water and after-race snacks will be provided. T-Shirt purchase is optional with registration. Please return the
information below the dotted line in one the following ways:
1) Turn into the Worthington Middle School Office (in the box on Sheilas desk!)
OR
PLACE TO BE ANNOUNCED
2) Mail to Worthington Middle School:
WMS Student Council
1401 Crailsheim Rd.
Worthington, MN 56187
**Any questions? Please ask for Kelly Moon or Molly Scheidt when calling (507) 376-4174

Cut here -----------------------------------------------------------------------------------------------------------------------------------------------REGISTRATION DUE THURSDAY, OCTOBER 15th for T-SHIRT! May register on race day if no t-shirt desired!
Name: __________________________________ Age (as of Sept. 2015): ____ Phone number: ____________________
T-Shirt: YES ($18)
NO ($10) (Circle One)
T-Shirt Size: XS S M L XL (adult and kid sizes available)
Participating Event:
5K Run
1 Mile Run/Walk (Circle one)
Cash accepted or make Checks Payable to: Worthington Middle School
Participant Waiver for Race Registration
I know that running a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I
am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health,
and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including
the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and
agree to abide by them. I assume all risks associated with running in this event, including but not limited to: falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being
known and appreciated by me. I understand that bicycles, skateboards, roller skates or roller blades, and animals are not allowed in the
race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I,
for myself and anyone entitled to act on my behalf, waive and release the Worthington Middle School Spooktacular Fun Run and Walk
Student Council Committee, Worthington Middle School, and all event sponsors, their representatives and successors from all claims or
liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on
the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings
or any other record of this event for any legitimate purpose.
Signature: _________________________________________________________ Date: __________________________
Parents Signature if under 18 years: __________________________________________ Date: __________________________

The Fun Run supports Student Council at the Worthington Middle School. Student Council exists to make
Worthington Middle School a better place by helping others, being leaders, and giving students a voice.