5K, 10K Run & 1 Mile Run-Walk

Date:       Saturday, April 2, 2005

Place:     Wiggins, MS (begins at Blaylock Park in Downtown)

Time:      8:00 a.m.–5K Run, 10K Run & 1 Mile Fun Run/Walk immediately follows

Course:  Slightly Hilly

Entry Fee: $10.00 Pre-Registration, $15.00 Day of Race

Awards:

• Guarantee of T-Shirt on Race Day ONLY if application is received by March 24, 2005

(Will mail if there is a shortage)

• Participation Ribbons to all finishers that are 12 and under.

Medals:

• Grand Prize Medals to Overall Male and Female Winners of both 5K & 10K Runs.
• Medals to first two Boys and Girls, 12 and under in 1 Mile Walk.
• Medals to First and Second Place in each of the following age groups in both 5K & 10K Runs.

Male:    13-18    30-39    50-59                Female:             13-18   30-39   50 & over

                        19-29    40-49  60& over                                    19-29   40-49

GENERAL INFORMATION:  We invite the entire family to come and enjoy the exciting Pine Hill Day Celebration featuring a 5K, 10K and 1 Mile Fun Run, musical groups, Arts & Crafts sales, and much, much more!  Food will be served all day.  We look forward to welcoming all our many past participants and those who will experience the Pine Hill Day Celebration for the first time.  It’s great family fun and we hope to see you on Saturday, April 2, 2005.

Race & Booth Information:  Stone County EDP - 601/928-5418

                                                    (Cut below to mail registration)

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Mail to:  SCEDP

              P.O. Box 569

              Wiggins, MS  39577

Check Payable To:  Stone County Economic Development Partnership

Name________________________ 5K Run_____10K Run_____1 Mile Walk_____ (check one)

Address______________________City______________________State________Zip_________

Age_______   Birthday________________, 19____.  Sex:  Male or Female

T Shirt Size (circle one) S   M   L   XL

RELEASE WAIVER

IN CONSIDERATION OF YOUR ACCEPTANCE OF MY ENTRY IN THIS EVENT, I INTEND TO BE LEGALLY BOUND FOR MYSELF.  THEREFORE, MY HEIR EXECUTORS AND ADMINISTRATORS DO HEREBY RELEASE AND DISCHARGE STONE COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP AND THE PINE HILL DAY OFFICIALS AND ANY AND ALL SPONSORS FROM ANY AND ALL LIABILITY ARISING DUE TO ILLNESS, INJURY, DAMAGES AND DEATH THAT I MAY SUFFER AS A RESULT OF MY PARTICIPATION IN THESE EVENTS.  I CERTIFY THAT I AM IN GOOD PHYSICAL CONDITION TO PARTICIPATE IN THE 5K, 10K, AND 1 MILE EVENTS.

Name_________________________________  Date___________________________________