Course: A 5K run/walk through the beautiful city of Leakesville Mississippi, followed by an awards ceremony for all participants.

Time & Place: Race Day Registration at 7:00 am, Greene County Hospital.

Race starts at 8:00 am.

Directions: From Hattiesburg, take Hwy 98 East towards Mobile. Turn Left onto Hwy 57 North. Go approximately 13 miles. Look for the Blue Hospital sign on the Right. Follow until you see the hospital.

Fees: Pre-registrations $20

Race day registration $25

Walk Pre-Reg $10

All proceeds will benefit the 2008 Relay For Life.

Pre-Registration: Pre-registration must be postmarked by April 1 Mail to:

Amanda Barnes 1017 Jackson Ave. Leakesville MS, 39451. Make checks payable to Greene County Hospital.

Awards will be presented to the Overall finishers in both male and female categories. Age group awards will be given to the top 2 male and female finishers:

0 – 14 15 – 19 20 – 29

30 – 39 40 – 49 50 – 59

60 – 69 70 +

Walk day registration $15

__________________________________________________________________

Registration for the Greene County Hospital Race for a Cure

Saturday April 19, 2008

Name: ____________________________________

Address:__________________________________

City/State/Zip_____________________________

Phone: ___________________________________

Email: __________________________________

Sex (please circle): Male Female

Age on Race Day ______

Shirt Size (please circle): S M L XL XXL

In consideration of the acceptance of this entry, I assume full responsibility for any injury or accident which may occur while I am traveling to and from the event, during the event, or while I am on the premises of the event. I am also aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic, animals and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters, and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for all my liabilities, claims, actions, or damages that I may have against them arising out of, or in any way connected with, my participation in this event. I understand that this waiver includes any claims, whether caused by negligence, and action or inaction of any of the above parties, or otherwise.

I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to any and all of the above parties to use images of my likeness whether on photographs, videotapes, motion pictures, web site images, recordings or any other record of this event.

____________________________________ ______________________

Signature (parent or guardian if under 18) Date