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					                                                           Race Day Sponsors
    About the Charity:                                                                              August 22, 2009
  Kinship Program                                                                                     Race begins at
Kinship is a non-profit volunteer mentor
                                                                                                         9:00 am
program that matches screened adults with
children, ages 5 to 17. The goal is to come
                                                                                                   Registration closes at
alongside and motivate a child, for a variety of
reasons, needs a special relationship with a
                                                                                                         8:30 am
caring adult. Volunteers may mentor as an
individual, as a couple or even as a family.
The matches typically meet 2-3 times per
Kinship also sponsors free “fun” activities each               Staples/Motley                        Start and Finish at
month for everyone in the program. It is a
rewarding and learning experience for both                                                         Staples Alliance Church
kids and adults. Come, join the fun and make
a difference in the life of a child.                                                                      located at
If you want to learn more about Kinship or                                                           1512 8th Street NE
have an interest in being a volunteer mentor,
or to help invest financially, please contact the                    Staples                         Staples, MN 56479
Director, Dave Johnson, at (218) 894-2799
or toll free at (877) 631-1788.
The Kinship of Todd-Wadena Counties central
office is located at 425 4th Street NE,
P.O. Box 281, Staples, MN 56479.
                                                                                                   All proceeds benefit the
  “Small Investment, Forever Impact”
                                                     *For more information about the “Railroad
                                                    Days” Dash, please contact the race director       Charity for youth
                                                        Nick Schultz at (218) 894-1201 or
                                                     *Please visit            (Kinship of Todd-
                                                                                                       Wadena Counties)
   Race Information                                 Course Description                                    Official Entry Form
Location:              Start and finish        This 5k road race starts at Staples Alliance          Name______________________
at Staples Alliance Church Parking lot.        Church at 9:00am and goes north on 8th Street
Staples Alliance Church is located at:
                                               until Prairie Avenue where runners will head          Age_______(on race day) Sex M                       F
                                               west down a slight decline and back up a slight
1512 8th Street NE in Staples, MN 56479
                                               hill. Runners will then go south on flat 4th Street   Phone______________________
Divisions:                                     until the Warner Road where they will angle east
                                               1 block to 5th Street and resume running south.       Address____________________
Mens and Womens:                               Runners will continue running south on a long
                                               straight stretch on 5th Street until 3rd Avenue NE,   City________________________
Overall winner, Under 21, 21 to 49, 50 and     where they will turn east and run up and back
over.                                          down the only significant hill on the course.         State_________ Zip_________
Awards will be given to the top finisher in    Runners will continue on 3rd Avenue NE until 8th
                                               Street, where they will turn north and start the      Email______________________
each division!
                                               home stretch. This is where the racing will heat
                                                                                                     How did you originally hear about this
Results:                                       up as this last long stretch is a straight and
                                               almost flat burst back to Staples Alliance
Winners will be listed in the Staples World.   Church. The course is set up to be fast and           Circle T-Shirt Gender and Size:         M           F
Results for all participants will be posted    runner-friendly. A great chance to come and set
ASAP following the race.                       your own 5k personal record!                                    S      M       L     XL       XXL
Registration:                                                                                        (Note: Adult sizes, women’s- capped sleeve)

Preregistration Cost:   $15.00                     Other Railroad Days                                                  Waiver
Race Day Cost:   $18.00                                  Events                                         (must be signed by parent or guardian if under 18)

Mail to: Race Director                                                                               I, the undersigned, agree to indemnify
                                                               Fireworks                             and hold harmless beneficiaries,
         25259 County Road 2
                                                                                                     sponsors, volunteers and anyone else
         Staples, MN 56479                               Chili Cook-off                              associated with this event from all
or Drop off at: Staples or Motley Dairy                                                              cost, expense and liability arising
Queens, Staples Curves, Staples/Motley                                                               directly or indirectly from my or my
Chamber of Commerce Office.
                                                              Craft Fair                             child’s participation in this event. I
Make checks payable to:                                                                              agree to assume liability for any loss,
                                                  Pepper-Eating Contest                              damage or other liability resulting from
Railroad Days Dash
                                                                                                     my or my child’s participation in this
All pre-registered runners will receive a                                                            event.
logo t-shirt. Pre-registered runners are
those whose registration form is received
by Thursday, August 20, 2009.                                  Corn Feed                             Participant Signature
Runners registering on race day will get
t-shirts on a first-come first-serve basis.                                                          _____________________________________
                                                                                                     Parent/Guardian Signature