Registration options:
1. Print registration form below, fill out and send registration and appropriate payment to included address.
To Print: Highlight form below, go to File and Print Document.
To print a single page, go to File and Print. Then go to From: 1 to1 or 2 to 2.
2. Go to RUNNER/WALKER REGISTRATION in the navigation bar above and register on-line
a. send appropriate payment to included address.
b. bring appropriate payment with you on day of race.
41st Annual
Bill Jansen Road Race/Walk
SPONSOR: Valley City Optimist Club
LOCATION: Valley City, ND - HI-LINE PARK
DATE & TIME: Saturday, June 17, 2023 - 8:00 A.M. start
REGISTRATION Hi-Line Park (east of Charlie Brown Field)
& CHECK-IN: Day of Race Registration/Check-in begins at 7:00 am
DIVISIONS:
Girls/Women Boys/Men______________
8:00 - 12 & under (1 mile) 8:00 - 12 & under (1 mile)
8:00 - Open Walk (5 km) 8:00 - Open Walk (5km)
8:15 8:15
13-16 (5 km) 13-16 (5 km)
17-20 (5 km) 17-20 (5 km)
21-27 (5 km) 21-27 (5 km)
28-35 (5 km) 28-35 (5 km)
36-43 (5 km) 36-43 (5 km)
44-51 (5 km) 44-51 (5 km)
52-59 (5 km) 52-59 (5 km)
60-65 (5 km) 60-65 (5 km)
66+ (5 km) 66+ (5 km)
8:15 - Open (10 km) 8:15 - Open (10 km)
ENTRY FEE: $5.00 Miler, $20.00 Individual, $50.00 Family Maximum
$10.00 Walker
DAY OF RACE: ENTRY FEE = $25.00 5/10K Individuals
AWARDS: Medals to the TOP THREE in each division; No awards in walking division; T-shirts to all finishers
REFRESHMENTS: Refreshments provided for participants at the conclusion of the race/walk.
FIRST AID STATION: Participants will be monitored during the entire race/walk in case there is a need for medical attention.
CONTACT PERSON:
Mike Watterson ([email protected])
BILL JANSEN 41st ANNUAL
Valley City Optimist Club
ROAD RACE/WALK
Saturday, June 17, 2022 - 8:00 A. M.
SPONSOR: Valley City Optimist Club
LOCATION: HI-LINE PARK, Valley City, ND
PRE-REGISTRATION: Deadline – Thursday, June 15, 2023
ENTRY FEE: $5.00 Miler, $20.00 Individual, $50.00 Family Cap, $10.00 Walker
DAY OF RACE: REGISTRATION ENTRY FEE = $25.00
HI-LINE PARK (East of Charlie Brown Field)
FULL NAME___________________________________________________
ADDRESS _________________________________ AGE (day of race) ______SEX______
CITY ________________________________STATE______ZIP__________
Check proper division:
_____ Girls, 12 & under (1 mile) _____ Boys, 12 & under (1 mile)
_____ Girls, 13-16 (5 km) _____ Boys, 13-16 (5 km)
_____ Women, 17-20 (5 km) _____ Men, 17-20 (5 km)
_____ Women, 21-27 (5 km) _____ Men, 21-27 (5 km)
_____ Women, 28-35 (5 km) _____ Men, 28-35 (5 km)
_____ Women, 36-43 (5 km) _____ Men, 36-43 (5 km)
_____ Women, 44-51 (5 km) _____ Men, 44-51 (5 km)
_____ Women, 52-59 (5 km) _____ Men, 52-59 (5 km)
_____ Women, 60-65 (5 km) _____ Men, 60-65 (5 km)
_____ Women, 66+ (5 km) _____ Men, 66+ (5 km)
_____ Women, Open (10 km) _____ Men, Open (10 km)
_____ Walker (5 km) _____ Walker (5 km)
I, knowingly at my own risk, hereby apply to enter the Bill Jansen Road Race, and to hereby waive and release any and all claims for damages that I may incur as a direct or indirect result of my participation in this event against THE VALLEY CITY OPTIMIST CLUB, THE CITY OF VALLEY CITY, THE COUNTY OF BARNES, THE STATE OF NORTH DAKOTA OR ANY EMPLOYEE, OFFICIAL, OR ELECTED OFFICER OF THESE ORGANIZATIONS for said injuries.
____________________________________________________
Signature (parent or legal guardian if under 18)
_____________________________ Date
Send entries along with fee to: Bill Jansen Road Race/5K Walk
Valley City Optimist Club
P. O. Box 1
Valley City, ND 58072
1. Print registration form below, fill out and send registration and appropriate payment to included address.
To Print: Highlight form below, go to File and Print Document.
To print a single page, go to File and Print. Then go to From: 1 to1 or 2 to 2.
2. Go to RUNNER/WALKER REGISTRATION in the navigation bar above and register on-line
a. send appropriate payment to included address.
b. bring appropriate payment with you on day of race.
41st Annual
Bill Jansen Road Race/Walk
SPONSOR: Valley City Optimist Club
LOCATION: Valley City, ND - HI-LINE PARK
DATE & TIME: Saturday, June 17, 2023 - 8:00 A.M. start
REGISTRATION Hi-Line Park (east of Charlie Brown Field)
& CHECK-IN: Day of Race Registration/Check-in begins at 7:00 am
DIVISIONS:
Girls/Women Boys/Men______________
8:00 - 12 & under (1 mile) 8:00 - 12 & under (1 mile)
8:00 - Open Walk (5 km) 8:00 - Open Walk (5km)
8:15 8:15
13-16 (5 km) 13-16 (5 km)
17-20 (5 km) 17-20 (5 km)
21-27 (5 km) 21-27 (5 km)
28-35 (5 km) 28-35 (5 km)
36-43 (5 km) 36-43 (5 km)
44-51 (5 km) 44-51 (5 km)
52-59 (5 km) 52-59 (5 km)
60-65 (5 km) 60-65 (5 km)
66+ (5 km) 66+ (5 km)
8:15 - Open (10 km) 8:15 - Open (10 km)
ENTRY FEE: $5.00 Miler, $20.00 Individual, $50.00 Family Maximum
$10.00 Walker
DAY OF RACE: ENTRY FEE = $25.00 5/10K Individuals
AWARDS: Medals to the TOP THREE in each division; No awards in walking division; T-shirts to all finishers
REFRESHMENTS: Refreshments provided for participants at the conclusion of the race/walk.
FIRST AID STATION: Participants will be monitored during the entire race/walk in case there is a need for medical attention.
CONTACT PERSON:
Mike Watterson ([email protected])
BILL JANSEN 41st ANNUAL
Valley City Optimist Club
ROAD RACE/WALK
Saturday, June 17, 2022 - 8:00 A. M.
SPONSOR: Valley City Optimist Club
LOCATION: HI-LINE PARK, Valley City, ND
PRE-REGISTRATION: Deadline – Thursday, June 15, 2023
ENTRY FEE: $5.00 Miler, $20.00 Individual, $50.00 Family Cap, $10.00 Walker
DAY OF RACE: REGISTRATION ENTRY FEE = $25.00
HI-LINE PARK (East of Charlie Brown Field)
FULL NAME___________________________________________________
ADDRESS _________________________________ AGE (day of race) ______SEX______
CITY ________________________________STATE______ZIP__________
Check proper division:
_____ Girls, 12 & under (1 mile) _____ Boys, 12 & under (1 mile)
_____ Girls, 13-16 (5 km) _____ Boys, 13-16 (5 km)
_____ Women, 17-20 (5 km) _____ Men, 17-20 (5 km)
_____ Women, 21-27 (5 km) _____ Men, 21-27 (5 km)
_____ Women, 28-35 (5 km) _____ Men, 28-35 (5 km)
_____ Women, 36-43 (5 km) _____ Men, 36-43 (5 km)
_____ Women, 44-51 (5 km) _____ Men, 44-51 (5 km)
_____ Women, 52-59 (5 km) _____ Men, 52-59 (5 km)
_____ Women, 60-65 (5 km) _____ Men, 60-65 (5 km)
_____ Women, 66+ (5 km) _____ Men, 66+ (5 km)
_____ Women, Open (10 km) _____ Men, Open (10 km)
_____ Walker (5 km) _____ Walker (5 km)
I, knowingly at my own risk, hereby apply to enter the Bill Jansen Road Race, and to hereby waive and release any and all claims for damages that I may incur as a direct or indirect result of my participation in this event against THE VALLEY CITY OPTIMIST CLUB, THE CITY OF VALLEY CITY, THE COUNTY OF BARNES, THE STATE OF NORTH DAKOTA OR ANY EMPLOYEE, OFFICIAL, OR ELECTED OFFICER OF THESE ORGANIZATIONS for said injuries.
____________________________________________________
Signature (parent or legal guardian if under 18)
_____________________________ Date
Send entries along with fee to: Bill Jansen Road Race/5K Walk
Valley City Optimist Club
P. O. Box 1
Valley City, ND 58072