The USM Student Sports Medicine Association
Invites you to the
14th Annual Homecoming 5K Eagle Run
0-13 14-19 20-29 30-39 40-49 50-59 60-69 70+ TEE-SHIRT: Each participant will receive a free tee-shirt with registration. Registration and Entry Fees: Mail completed registration application form (below) postmarked before October 16, 2009 Pre-registration fee $20 adults Children $15. OR Race day at MM Roberts Stadium/Eagle Walk Entry Fee-$25 adults $15 Children 14 & under |
Application Form |
T-Shirt (Adult sizes): S M L XL Age on race day (Print) Check one: ___ $15.00 Ages 14 & Under ___ $20.00 Early Registration I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by the rules of the race by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and my one entitled to act on by behalf waive and release the University of Southern Mississippi and all sponsors, their representatives and successors from all claims of liabilities of any kind arising out of my participation in this event. I grant permission to all of the foregoing to use my name and picture from this event for any legitimate purposes. _________________________________________ ______________________ Signature (parent or guardian if under 18 years of age.) Date MAIL APPLICATION AND CHECK TO: |
