PINE HILL RUN
Date: Saturday, April 1, 2006
Place: Wiggins, MS (begins at Blaylock Park in Downtown)
Time: 8:00 a.m.–5K Run & 10K Run
Course: Hilly
Entry Fee: $15.00 Day of Race (Pine Belt Racers Members $10.00)
Awards/Medals:
T-Shirt
Participation Ribbons to all finishers that are 12 and under.
Grand Prize Medals to Overall Male and Female Winners of both 5K & 10K Runs.
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 race, 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 1, 2006.
Race & Booth Information: Stone County EDP - 601/928-5418
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Day of registration only.
Check Payable To: Stone County Chamber of Commerce
Name________________________ 5K Run_____10K Run_____ (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 PARTICAPTION IN THESE EVENTS. I CERTIFY THAT I AM IN GOOD PHYSICAL CONDITION TO PARTICIPATE IN THE 5K, 10K, AND 1 MILE EVENTS.
Name_________________________________ Date___________________________________