Winter Sprinter Registration
Print and fill out the registration form below and return with your payment to Brillion Nature Center, PO Box 85, Brillion, WI 54110
Winter Sprinter 5K Snowshoe Run/Walk
February 22, 2025
9:00 am - 11:00 am
Registration Form
$25.00/Participant - Ages 13 - Adult $15/Participant - Ages 3-12
Note: Participants renting BNC's Snowshoes must call to verify snowshoe availability at 920-756-3591.
Print and fill out one registration form per participant - Return to Brillion Nature Center with cash or check payment.
Name: ______________________________________________________________________________________________________________________________________
Address: _____________________________________________________________________________________________________________________________________
Phone: _______________________________________________________________________________________________________________________________________
Email: _______________________________________________________________________________________________________________________________________
Snowshoe rental : Needed ___________ Not Needed ___________
T-shirt Size Adult: Small ______ Medium______ Large______ XL______ XXL______
T-shirt Size Youth: Small ______ Medium______ Large______
Mail with payment to: Brillion Nature Center, PO Box 85, Brillion, WI 54110
Or
Drop off at our location: W1135 Deerview Road
By registering and participating in this event, I give permission for the event organizers or medical personnel to administer first aid treatment and/or allow a physician or hospital to administer treatment in case of an emergency. I waive and release any and all rights, claims, and causes of action I have or may have against Brillion Nature Center, event organizers and volunteer staff, that may arise as a result of my participation in the event.
Signature: ____________________________________________________________________________________________________________________________
If signing for a minor, Relationship to participant: __________________________________________________________________________________________
