NCK Tech 50th Anniversary

5K Run/Walk Registration Form

Complete this form in its entirety; registrations accepted until race day!

Registration Fee: $25 (Through August 4th); $30 (After August 4th)

    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 (click the "Donate" button):


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 August 4th): $25

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


If paying by check, make checks payable to: NCK Tech Endowment Association and Foundation.

Mail your registration and fee to:

North Central Kansas Technical College

Attn: Mari Tucker

P.O. Box 507

Beloit, KS 67420


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 (by August 4th) participant will receive a custom designed commemorative T-shirt.

T-shirts will be available for purchase 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