"Stomp Out Suicide" 5K Registration
“Stomp Out Suicide” 5K
In Memory of Bryce Albright and Caleb Davis
What: A 5k to raise awareness and prevention for suicide
Where: Old Stone Arch Nature Trail, Shelby, Iowa
When: November 11th, 2017
Run starts at 10:00 AM
Return completed registration forms and fee to Shelby City Hall, 419 East Street, Shelby, IA
Checks payable to Shelby Youth Council.
Participant’s Name: ____________________________________________________________________________
Participant’s Date of Birth: __________________________________________________________________
T-Shirt Size: ___________________________________________________________________________________
Phone Number: _______________________________ Email: _____________
Race Day Emergency Contact Name: _____________________________________________________
Phone Number: __________________________
Registration Fee: $20.00 for adult and $50.00 for a family
Day of Registration Fee: $25.00 for adult and $55.00 for a family
Parking and On-site Registration will be at the Corn Crib, 12 East Street. For more information: Please call Shelby City Hall at 1-(712)-544-2404.
100 % of Proceeds will go to “To Write Love on Her Arms,” a non-profit organization that helps raise money for treatment and spread awareness for mental health/suicide
Register Online: shelbyia.com or
Check-in will begin at 8:30 am at the Corn Crib.