25th Annual
                                          Dogwood Days 5K Run
                                               Idabel, Oklahoma

Date: Saturday, April 7th, 2018
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:        $2
5 through March 29th
0 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,
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


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.

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  # _____