The race starts in:
53 days 6 hr 35 min 10 sec.
 

REGISTRATION

First Name
Last Name
Street Address
City
State
Zip
Phone
Email
Age on Race Day
Date of Birth
Gender
Select Race
Shirt Size:

Race entry fee ($27.00) is due on race day. Breakfast is included!

In submitting this form, I am electronically signing it and I assume all responsibility and agree to waive any responsibility for the organizers of the Rick Haschel Memorial 5k, Winamac Athletic Boosters and all other sponsors for any injury incurred during said race. I verify that I am physically fit and have sufficiently for this event.

   
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Dr. Clint L. Kauffman, MD
Good Oil Company
Alliance Bank
Standard Industrial Supply
JT's Shirt Shack
New View Solutions
Ephraim Farms
Action Plumbing & Heating
Dillman Tire and Auto
Frain Mortuary
Webb Printing
Studio 218
Back to Basics Organics
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