Saturday, June 24th Race Starts @ 9:00 am

(check-in and on-site registration at 7:45am – 8:30am)

yellow springs high school, 420 e. enon road at corner of w. south college street

Proceeds benefit Simply Women Ohio supporting female athletics since 2009!

Race Info ▪ Pre-race warm-up fun! ▪ 5k (3.1 miles) through tree-lined streets of Yellow Springs ▪ Loop: Start and Finish at YSHS ▪ One mid-race water station ▪ Timing by Keysports ▪ Post-race snacks, awards & prizes ▪ Packet & Chip Pick-up: Friday, June 23th, 6p-8p at YSHS.

Registration

Awards

▪ $25 per entry (includes t-shirt & swag bag w/ pre-registration) ▪ Pre-registration through June 13th ▪ Online registration or download more mail-in forms at:

www.keysports.net

▪ After June 14th, & same-day registration 7:45a – 8:30a $30 per entry (not guaranteed t-shirt)

Medal awarded to top finisher in each age group (must be present at closing ceremony): < 6; 7-10; 11-14; 15-19; 20-24; 25-29; 30-34; 35-39; 40-44; 45-49; 50-59; 60-69; 70+ Top two overall award Enter drawing to win fun prizes after the race/walk. Must be present to receive prizes.

Registration for Women and Girls

□ I’ll Be There: $25 registration fee – Pick T-shirt size below - OR - check “No T-shirt” below □ I Can’t Attend: $25 donation only – Pick T-shirt size below - OR - check “No T-shirt” below □ Shirt Size (circle one) YL S M L XL 2XL □ No T-shirt (let’s increase $$$ for programming) Pre-registration and t-shirt guarantee is June 13th.

First Name

Last Name

Address

City/State/Zip

Email Address: Phone # (

)

Race Day Emergency Contact # Age (on race date)

Date of Birth ___/___/___

In exchange for the opportunity to participate in the “simplywomen 5k run/walk for women and girls,” and recognizing the possibility of physical injury associated with running/walking, I hereby release, discharge and/or otherwise indemnify the 5k coordinators and their affiliated organizations and sponsors, their volunteers, and associated personnel, including the owners of the facilities utilized by the program, YS Schools, and the Village of Yellow Springs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the “simply women 5k run/walk for women and girls.” I understand that I may be photographed and event images used on the Simply Women Ohio website, Instagram, Facebook, or other Simply Women promotional material.

Participant Signature If under 18 years old, signature of parent or guardian Make $25 checks payable to: Simply Women Ohio Mail to: Simply Women Ohio, 1850 Hilt Rd., Yellow Springs, OH 45387 OR register online: www.keysports.net Questions: [email protected] or (937) 767-2093