PBW Cheese Head Chase






LOCATION FOR 2009

St John Lutheran Church Parking Lot (corner of Smith Street and Main Street)

For driving directions please visit the Google Maps link below.

The Plymouth Professional Business Women is a local organization dedicated to developing leadership in business and promoting community involvement. The Cheesehead Chase is the only time during the year that we ask for help from every member of our organization. All proceeds to benefit various community organizations and our annual Scholarship Fund.

ROUTE FOR THIS YEAR IS AS FOLLOWS:

Start- St. John's Lutheran Parking lot Smith St.

Go north on Smith to Eliz. St.

West on Eliz. to Western Ave.

West on Western to Trailhead on CTH C

East on Trail, cross Sunset, continue on trail past QQO Complex, cross Hwy 67, Mullet River and continue on trail to Fairview Dr. South on Fairview to Riverview Dr.

West on Riverview Dr. to Edna St.

South on Edna, cross Mullet River to North St.

South on North St. to Forest Ave.

West on Forest to Smith St.

South on Smith St, cross Elizabeth St. and finish at St. John's Lutheran School

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The Plymouth Professional Business Women sponsor the Cheesehead Chase as their annual charity event. All proceeds are donated to Organizations supporting Women's Causes.

YOU CAN PICK-UP YOUR PACKETS EARLY!

Friday Night, July 10th, 2009
3 p.m. to 7 p.m.
Joe Van Horn Chevrolet
Hwy C - Plymouth

For Questions, please contact:
Teresa Van Horn at
920-893-6361
Or E-Mail Teresa: THVH88@aol.com

Walkers:
$15 in advance per person with shirt by July 2nd
$12 in advance corporate/family rate with shirt by July 2nd
Runners:
$18 in advance per person with shirt & timing chip by July 2nd
$15 in advance corporate/family rate with shirt & timing chip
Day of Race: $21 per person for Walkers & Runners



Payment Options

PayPal	Checks Payable to: PBW

This option will appear	Mail Checks to:
after registering below.
	Cheesehead Chase
	P.O. Box 324
	Plymouth, WI 53073

Please register below. You may also register at www.active.com

Registration Type:

Corporate/Family/Team Name:
(3 or more signing up together)

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone:

Email:

Sex:

Age:

8 & Under 9-11 12-14 15-19 20-29 30-39 40-49 50-59 60-69 70+

Select Course:

5 Mile Runner 2 Mile Runner 2 Mile Walker

T-Shirt:

No Shirt Sm Med Lg XLg XXLg $2 extra

Electronic Signature:

Parents Signature:

Amount of Check:

Please review:

In consideration of your acceptance of this entry, I hereby, for myself, my executors and administrators, waive any and all rights and claims for damages I may have against the sponsors, coordinating groups, and any individuals associated with the event, their representatives, successors and assigns, and will hold them harmless for any and all injuries suffered in connection with said event. Also, none of the above are responsible for the loss of personal items nor any other form of aggravation in connection with the said event. I have been warned I must be in good health to participate in this event. I also give permission for the free use of my name and picture in any broadcast, telecast or print media account of this event. In filling out this form. I acknowledge I have read and fully understand my own liability and do accept restrictions. NO REFUNDS!