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:  __________________________________________________________________________________________