Printable Adobe Acrobat Reader Registration form that you can send in for Individual or Team.

2011 Online Registration
Race Day June 4th 2011, 9:00a.m.

Walk/Run benefits the Riverview Emergency Services. NO Pets, Rollerblades or Bicycles are permitted!

Waiver: In consideration of my clicking on the PayPal button to purchase an entry into the walk/run I hereby for myself and / or child, assume any and all risks which might be associated with the Nicolet Walk/Run Challenge for Life. I waive any and all rights and claims for injuries or damages which I may have against the organizers and sponsors of this event. Nicolet Plastics, Inc., their representatives, successors and assigns for any and all injuries or damages of any kind whatsoever suffered by me as a result of taking part in the event and any related activities.

If signing up as a team members please put in the notes on paypal the team name you will belong on. Make sure you read the team rules as stated on the walk/run home page.

Pre-registration Packet Pick-up available at Tri Fitness, Hwy 32, Mountain, WI
Friday June 3th from noon until 6 PM
REGISTRATION Saturday 7:00 AM – 8:30 AM at the START

If you are Running please choose a Sex / Age Group, if Walking choose Walker in the Race Category Drop Down

2011 Race Registration $20
After May 15th $25

Run Category
Shirt Size

2011 Race Registration XXL Shirt Size $22
After May 15th $27

Race Category

2011 Walk / Run T-Shirt $15 to $17

Shirt Size
Team / Family Prices Available email LeeAnn Counard


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Payment Processed by PayPal on their secure website. You must have a credit card or PayPal Account.