First Name:       Last Name:  Phone #: 

Street:     City:    St:     Zip: 

E-Mail:     Gender:  F  M     What will your age be on Race Day? 

T-Shirt Size:  No Shirt Small Medium Large X Large T-Shirts and/or correct size is not guaranteed unless registered by:  04/18/2008

Select the event which you are registering for - NOTE - Registration fees are non-refundable

Half Marathon $25.  RATE CHANGES ON THE DAY BEFORE THE RACE & ON RACE DAY TO $35

5K Run $20.  RATE CHANGES ON THE DAY BEFORE THE RACE & ON RACE DAY TO $25

Walker $20.  RATE CHANGES ON THE DAY BEFORE THE RACE & ON RACE DAY TO $25 (walkers will not be timed or receive a Bib number)

Waiver-Signature Required

Running is a potentially hazardous activity.  I assume all risks associated with participating in this event including but not limited to falls, contact with  other runners, bikers, spectators, traffic, conditions of running surface, crossing roads and effects of weather, all risks being known and appreciated by me.  I release and hold harmless the City of La Crosse, City of Onalaska, the Department of Natural Resources, event sponsors, event donors, event organizers, Gundersen Lutheran Medical Center/Foundation and Franciscan Skemp Healthcare Foundation from all claims or liabilities of any kind arising out of may participation in this event even though liability might arise out of negligence or carelessness on the part of subjects mentioned in this waiver.  I grant permission to all of the foregoing to use any photographs or video of this event for legitimate purposes. 

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Signature Required    If participant is under 18 years of age, guardian must sign                                                                                      Date

Mail To:  St Clare Health Mission, 916 Ferry St. , La Crosse, WI  54602-0188