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Idabel Chamber of Commerce & Agriculture
"One day you will wake up and there won't be anymore time to do the things you've always wanted. Do it now."
Idabel, OK
DOGWOOD DAYS 5K RUN
                                                                            26th Annual
                                                                   Dogwood Days 5K Run
                                                                       Idabel, Oklahoma

Date: Saturday, April 6th, 2019
Time:                5K Run - Registration 7:00 a.m. start 8:00 a.m.
Start:                East Main In Front of HOSS Building ( formerly Church of Christ)
Entry Fee:        $25 through March 29th
$30 after March 29th and day of race
Registration:        By mail through March 29th.  – P.O. Box 495, Idabel, Ok 74745
In person at Idabel Main Street Office, 100 East Main, Idabel – No Later Than March 29, 2016                 
Race day, April 1st, at 100 East Main in front of AEP/ PSO Building
Awards:            Medals- Men and Women - 12 & under, 13-19; and 5 year increments thereafter
Up to 70 and over (places awarded in each group);
Overall Male & Female Trophy

AWARDS CEREMONY: Immediately Following Race

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ENTRY FORM AND WAIVER

Name_____________________________________________________ Age _____

Address _______________________________________  Phone ______________

City__________________________________ State______ Zip________________

Male ( )   Female (   )     T-shirt Size:  M (   )   L (   )   XL (   )   XXL (   )
5K RUN T-Shirts Limited To First 40 Registered Runners
Waiver:  I know that running a road race is a potentially hazardous activity.  I will not enter and run unless I am
medically able and properly trained.  I also know that although police protection will be provided, there will be a
possibility of traffic on the course route.  I assume the risk of running in traffic.  I also assume any and all other
risks associated with running in this event including, but not limited to, falls, contact with other participants, the
effects of the weather, and the conditions of the roads, all such risks being known and appreciated by me.  
Furthermore, I agree to yield to all emergency vehicles.  I am also fully aware that baby strollers, baby joggers,
pushed wheelchairs and wheels of any kind (except competitive wheelchairs in a separate race, animals and
headphones are strictly prohibited and I agree not to have them on the course.  Furthermore, I agree not to
return to the course after finishing.  I am fully aware that allowing someone else to wear my race number,
switching race numbers or running under a false name is a fraudulent act and I agree not to do this.  Knowing
these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors,
administrators or anyone else who might claim on my behalf, covenant not to sue, and unconditionally waive
and release and discharge the Idabel Chamber of Commerce & Agriculture, USATF, Oklahoma, LDR, City and
State Police Department, dance officials, volunteers and any and all sponsors including any and all of their
agents, employees, assigns or anyone acting for or on their behalf from any and all claims or liability for death,
personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my
participating in this event whether same be caused by negligence or fault.  This release and waiver extends to
all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.  The undersigned
further grants full permission to sponsors and or agents authorized by them to use any photographs, video
tapes, motion pictures, recordings or any other record of this event for any purpose.  Applicants for minors will
be accepted only with a parent or guardian’s signature.


Participant____________________Parent/Guardian______________________________
Date signed:  _____________________
Please make check payable and return to:
Idabel Main Street
Dogwood 5 K Run
P.O. Box 495- Idabel,OK 74745

Amount Received $ _______ Date received: ________Cash _______ Check No. ________

Phone:  (580) 208-2000, 933-6953 ( Faye House, Program Manager) Fax:  (580) 286-5267

For office use only - Run  # _____