Event Signup - Cock-A-Doodle Dash

Come join us for the annual Cock-A-Doodle Dash fundraiser!

5K  IAA Foundation 
Kirby push-up

When: Saturday May 10th
Check-In 7:30 - 8:30 am
Cock-A-Doodle Dash at 8:30 am
Where: IAA Foundation - 1701 Towanda Ave - Bloomington, IL 61701

Kirby Club Members race, eat and get a t-shirt for free!

What: Quarter mile race for ages 12 and younger
Entry fee, breakfast and race t-shirt will be provided to Kirby Club Members.
Adult breakfast and open house $7 per person.

For more information on the breakfast and 5K, please go to www.iaafoundation.org.

To reserve your Kirby Kid spot, please fill out the form below or give us a call at 309-557-2541.

To guarantee a t-shirt please register by May 2nd.

T-Shirt Size

All race participants will receive breakfast with their entry fee. For those adults who are not racing, it will be $7 per person.

Waiver: Upon accepting my application and in consideration of allowing me to enter this event, which I agree is at my own risk and entirely of my own free will I hereby for myself and on behalf of my heirs, executors, administrators, and assigns, waive, release, and discharge Illinois Farm Bureau, IAA Foundation, Illinois Agriculture in the Classroom, IFB Family of Companies, Lake Run Club, race organizers, race volunteers, sponsors, and promoters from any responsibility or liability whatsoever for any losses, injury, or other damage sustained in any activities during or surrounding the event. I also give permission for the free use of my child's name and picture in any broadcast, telecast, or print media account of this event or subsequent similar future events.

Electronic Signature