8K or 5K

Registration:

Name_______________________________________________Age:________ Sex:_______

Distance:      5K_______ or  8K_________

Phone#:____________________________Email:____________________________

Make checks payable to Buffalo Peak Outfitters. Mail entry form, or drop it by

Buffalo Peak Outfitters   115 Highland Village   Jackson, MS, 39211.

Phone: 601-366-2557   email: info@buffalopeak.net

Wavier: In consideration of this entry acceptance, I hereby for myself, my heirs, executors and administrator, waive any and all rights and claims for damages I may have against Buffalo Peak Outfitters and Mississippi College and any individuals connected with the sponsoring of this race, and for any injuries, loss or death sustained by me. I am in good physical condition for this race.

Signature____________________________________________________              Date:___________

(If participant is under 18 years old, parent or guardian must sign.)