YMCA OF WASHINGTON COUNTY  
June 18 2015 

MESSAGE FROM CEO: BECKY HARKEMA


5k Run/20 mile Bike/1.5 mile Run 

 

Saturday  August 1, 2015 

 

YMCA of Washington County 

110 S Iowa Ave.  Washington, Ia. 52353


Individual or Teams of 2 or 3

7:00am Registration - 8:00am Race Start

Individual Categories:  12 & under, 13-18, 19-29, 30-39, 40-49, 50+

Teams:  2 or 3, any age or gender                      

Awards:  Individual    - Overall Male / Female winners

    1st and 2nd place per age category

 Teams of 2 - 1st & 2nd place awards

 Teams of 3 - 1st & 2nd place awards

Questions or additional information, please contact Teri Hartzler at YMCA of Washington

      Phone 319-653-6500 or email thartzler@washingtony.org


 

Name_____________________________________


Phone_____________________________________


Parent name (if under 18)______________________ 


Email______________________________________


Address____________________________________ 


 
City_____________________  State______  Zip_______


Age_______ Birthdate________      M  /  F       


T-shirt size:   

 Youth:    M  L    Woman or  Male Shirt   S  M  L  XL  XXL


 
Registration:     

Early bird discount -    Individual  $40         Team of 2 $60          Team of 3 $90  (through 7/23/15)


Regular Entry Fee  -     Individual  $50         Team of 2 $70          Team of 3 $100


 
I understand that I am legally agreeing to the following statements in the paragraph of this waiver by signing below.  I acknowledge that biking and running on an open course is extremely dangerous and can bring with it the potential for death, serious injury, and property damage.  My signature below is acknowledgement that I am at my own risk.  I understand that this is a public event and not an event related to, or sanctioned by any organization.  I am aware I will be on public roadways and vehicles may not be aware of my presence.  I realize I am solely responsible for myself and my own safety.  I do not hold the YMCA of Washington County, the City of Washington,  Washington County or it's volunteers responsible for any risk of injuries which may occur because of my participation.  


 

Signature____________________________________________     Date___________________


 

Signature of parent/guardian____________________________      Date___________________


Mail this form to: 

121 E Main St., Washington, Ia. 52353 


 

Online registration:

http://washingtonymca.myonlinecamp.com/


 

 


 

 

















YOU ARE INVITED TO THE
 
LIVE PERFORMANCE
 of the CHILDREN'S COMMUNITY THEATRE!! 

Friday June 19 @ 7:00pm at the Mid Praaire High School 

Support our youth who have worked hard all week preparing for this performance.

Becky Harkema
319.653.2141
bharkema@washingtony.org

Our Mission

To put Christian principles into practice through programs that build healthy spirit, mind and body for all.


 

Our Cause

At the Y, strengthening community is our cause. We believe that lasting personal and social change can only come about when we all work together to invest in our kids, our health and our neighbors. That's why we focus our work in three areas: youth development, healthy living and social responsibility.