NCK Tech 50th Anniversary

5K Run/Walk Registration Form

Complete this form in its entirety by 7/23/14

$25 (Through July 31st) $30 (Day of Race)

    Personal Information  
*First Name
*Last Name
*Gender M/F
*Age on Race Day
*Walking or Running  
*T-Shirt Size - $2.00 fee for XXL and XXXL  
Address (cont.)
*Zip/Postal code
*Email Address

* Required

If you experience problems or difficulty with registration or payment, please contact Mari Tucker at 783-738-9051 or    

Register for the 5K Walk Run
: using PayPal


More Information

Race Date and Time: Saturday August 23, 2014 8:00 am


Location: Run through the Historical Trail of Beloit -- Starting and ending in the Chautauqua Park. See map


Entry Fees: Registration (through July 31st): $25

Race Day (7:00-7:30am at Chautauqua Park): $30


Mail your registration by 7/31/14

North Central Kansas Technical College

Attn: Mari Tucker

P.O. Box 507

Beloit, KS 67420


Make checks payable to:

NCK Tech Endowment Association and Foundation


Packet Pick-up:

NCK Tech College Friday 8/22/14 7:30am - 4:30pm

Chautauqua Park Saturday 8/23/14 7:00am- 7:30am


T-Shirts: Each pre-registered participant will receive a custom

designed commemorative T-shirt. T-shirts are not guaranteed for late (or) race-day registrants.


Awards: Awards will be presented to the overall male and female runners and in the following age divisions: under 20, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and over.


Proceeds: All proceeds go directly to the NCK Tech Endowment

Association and Foundation.


For further information on other 50th Anniversary events,

please visit



Donate to the NCK Tech Foundation: using PayPal