Registration

Sunrise Children’s Zoo Run 2023

HOW TO REGISTER:

1. Print out the registration form in the upper right hand corner of this page or the form below, fill it out, and mail the registration and payment (payable to Sunrise Exchange Club) to:

Sunrise Exchange Zoo Run

Adam Hoogestraat

2807 University Ave.

Waterloo, IA 50701

2. Fill out the electronic version of the registration and mail your check.

1. Fill out the Google form HERE

2. Pay (send payment to above address)

Please mail this form, with the appropriate

fees payable to Sunrise Exchange Club to:

Sunrise Exchange Zoo Run

Adam Hoogestraat

2807 University Ave.

Waterloo, IA 50701

Name (last, first) _____________________________________

Address______________________________________________

City________________________________ State____________

Age _________ Birth date __________________Sex _________

Phone#_____________________________________________

Email_______________________________________________

Emergency Contact/Phone_______________________________

Event: 5K Walk ______ 5K Run_________

Fee Included

$25_____ (if mailed before August 1st)

$30___ (after August 1st - no guarantee of T-shirt)

Additional Donations:

$_____ Zoo Up Keep

Cotton T-Shirt only (Included in price)____

S M L XL XXL

Waiver: I hereby, for myself, my heirs, executors, administrators, waive any and all rights and claims for damages I may have against individuals associated with the event, it’s agents, representatives, successors and assigns, for any and all injuries suffered by me in said events. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event.

Signature:_________________________________

(Parents or guardians please sign for those under 18)