Wood Festival Kids Race Run/Walk - Registration Form


For Ages 10 and under - Starts in front of Rite Aid and ends in 
Front of the Courthouse. Start time is immediately after the end 
of the Wood Festival 5K Walk/Run (which begins at 8 a.m.)


Name: _________________________________________________________

Email: ________________________________________________________

Phone: ________________________________________________________

Street: _______________________________________________________

City __________________________________________________________

State/Zip: ____________________________________________________


Gender (circle one): Male Female

Participating in (circle one):Run   Walk

All Participants will get an award

Age on Race Day ____________

Entry Fee No entry fee

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. 

(Must be signed by parent/guardian)
Signature: ______________________________
Date: ___________________________________

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