Please register online by clicking the link below.

Or print out and send in the form below:

REGISTRATION FORM

Half Marathon / 5K (circle one)
Name: _______________________________
Address: _____________________________ City: ________________________________
State: _____________________Zip: ______Email: _______________________________
Phone: ______________________________Age :_____________________Sex: M -F
_________$20.00 Registration Fee for 5K
_________$25.00 (After April 1)
_________$45.00 Registration Fee for Half Marathon
_________$50.00 (After April 1)
_________Total Enclosed Check #_______

S__M__L__XL__ T-Shirt Size (Please Specify)

I hereby absolve and hold harmless the City of Prairie du Chien, the County of Crawford, all sponsors, volunteers, and race officials from any liability for any injury incurred by myself while participating in the Prairie du Chien Half Marathon. I further provide that this
consent and waiver applies to my heirs, executors and assignees. I attest and verify that I will participate in this event and my physical condition has been verified by a licensed medical doctor. Further, I grant full permission to any and all of the foregoing to use my name and any photographs or any other record of me participating in the event for any publicity and/or promotional purposes without obligation or liability. I have read the entry information provided and certify my compliance by my signature below. I also understand entry fees are non-refundable.

Signature: ___________________________________Date: __________

Signature of Parent or Guardian (if minor): ______________________

Send Payment To:
Prairie du Chien Half Marathon
P.O. Box 394, Prairie du Chien, WI 53821

THANK YOU!