Winter Sprinter Registration

Winter Sprinter 5K Snowshoe Run/Walk

Saturday, February 26, 2022

Registration Form

$25.00/Participant - Ages 13 - Adult

$15.00/Participant - Ages 3 - 12

NOTE: Participants renting snowshoes must call to verify snowshoe availability 920-756-3591.

Print and fill out one registration form per participant - Return to Brillion Nature Center with payment.

Name: _________________________________________________________________________________

Address: _________________________________________________________________________________

Phone: _________________________________________________________________________________

Email: _________________________________________________________________________________

Snowshoe rental not needed: _______

Snowshoe rental needed (check one size below):

Adult ____ Pre-K - Grade 1 Youth ____ Grade 2 - Grade 5 Youth ____ Grade 6 - Grade Youth ____

Shirt Size Adult (circle one): S M L XL 2X

Shirt Size Child (circle one): S M L

Mail with payment to: Brillion Nature Center, 315 S Main St, Brillion, WI 54110


Drop off at our location: W1135 Deerview Road, Brillion

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: __________________________________________________________________

Relationship to participant if minor: _____________________________________________________