the biggest

       

    LITTLE race

5K RUN/WALK & 1 mile FUN RUN

Time: 5K run/walk begins @ 8:00 am/registration:7:15am with 1 mile fun run to follow
Entry Fees: Pre-registration postmarked by September 12, 2009: $20.00 5K run/walk; $50.00 family maximum; $10.00 fun run (pre-registered and race day) Day of race:$25.00 5K run/walk 

Course:The course will begin and end @ SUMRALL LIONS PARK

Awards: 5K Run awards will be presented to the Overall, Master,Grand Master finishers in both male and female categories. Then age group awards will be given to the first three male and female finishers:0–13/14-19/20-29/30–39/40-49/50-59/60-69/70+

Awards will also be given to the top 3 male and female walkers.

T-shirts: Are only guaranteed to those on race day to those pre-registered before 9-12-09.

Registration: Mail completed registration postmarked on/before September 12, 2009 or 7:15 am @ Sumrall Lions Park

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                        Registration: Zach Little 5K Run/Walk

Name:_____________________________________________________ Age on Race Day:_____  DOB: _____________

Address:___________________________________________________ Day Phone: __________________________

City/State/Zip:  ___________________________________________________________

Sex: (Circle one) Male  Female  T-shirt size: Youth   XS      S      M      L     Adult     S     M     L     XL    XXL    XXXL

Event: (Check one) ___5K run ___5K walk  ___1mile  Email address:________________________________                                           

Waiver for Zach Little Legs 5K Run and Walk      

In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am traveling to or 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, and conditions of the road. I, for myself and 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, the action on 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 any photographs, videotapes, motion pictures, web site images, recordings or any other record of this event. Signature: _______________________Date: ___/___/___  (Parent if under 18 years of age)  

 Make checks payable to: Zach Little 5K Mail Entries to:

Zach Little 5K Attn: Tanya Cooper
288 T. Smith Rd.
Hattiesburg, MS 39401 
(601)606-3806