Wood Festival 5K Run/Walk - Registration Form

June 5 - Start Time 8:00 a.m. in front of Courthouse


Name: _________________________________________________________

Email: ________________________________________________________

Phone: ________________________________________________________

Street: _______________________________________________________

City __________________________________________________________

State/Zip: ____________________________________________________


Gender (circle one): Male Female

Participating in (circle one): 5K Run     5K Walk
 
T-Shirt Size (circle one): Adult S M L XL
 
(T-Shirts go to first 40 people arriving on Race Day)

Age on Race Day (circle one): 0-12 13-19 
20-29 30-39 40-49 50-59 60-69 70-79 80+


Entry Fee $15. Please make all checks payable to Calhoun 
Wood Festival. Early registration mail to: Melinda Fitzwater  
7837 Pine Creek Rd. Mount Zion, WV 26151


Waiver and Release of Liability: I hereby waive all claims against the Wood 
Festival, sponsors, or any personnel for any injury I might suffer in this event. 
I am physically fit to participate in this activity. 

(Signed by parent if under 18)

Signature: _____________________________
Date: __________________________________


Questions? Contact Melinda Fitzwater (304) 354-6524 
or email melindafitzwater@hotmail.com