5K Entry Fees 1 Mile Fun Run Phantom Runner

$15 received by April 3 (w/ t-shirt) $12 anytime (no t-shirt) $15 by April 17 (w/ t-shirt)

$20 April 4 - 12 (w/ t-shirt) $15 by April 17 (w/ t-shirt)

$25 April 13 - 17 (w/ t-shirt)

$30 April 18 - 26 (t-shirt not guaranteed)

$15 April 18 - 26 (t-shirt not guaranteed)

$15 April 18 - 26 (no t-shirt)

LOCATION: Sixes Elementary School, 20 Ridge Road, Canton Georgia 30114

T-SHIRTS: All pre-registered runners and “Phantom Runners” will receive a T-shirt. Shirts are NOT guaranteed for runners signing up after April 17.

RACE TIMES: The 5K will begin at 6:30pm and the 1-Mile Fun Run will begin at 7:15pm.

PARKING: Ridge Road, from Sixes ES to the old ACE Hardware, will be closed starting at 6pm. Parking is available at Hopewell Church.

COURSE: The course is a flat, double loop, paved road from Sixes ES to Pineview Dr. Down Pineview Dr. to turn around and back to Sixes ES. Finish on Sixes ES campus.

AWARDS: Awards to the overall Male and Female 5K runners! Top boy & girl grade level runners will receive prizes. Top Male & Female in standard age groups will receive awards.

Sixes Stars & Strides Running Club

Mail check and entry form to: Sixes Elementary, c/o Amy Krumrey, 20 Ridge Rd, Canton, GA 30114 checks made payable to Sixes PTA

Last Name: ________________First Name: ___________________ Date of Birth: ____________ Age on Race Day: ________

Address: __________________________________________City: __________________ State: _______ Zip: _____________

Gender (circle one): M F Daytime Phone: _______________________ Evening Phone: ______________________________ Email: ________________________________ Shirt Size: ___________ Grade/Homeroom Teacher: _____________________

Please Circle One: ! 5K Race ! ! 1-Mile Fun Run ! ! ! Phantom Runner

WAIVER: MUST BE SIGNED TO PARTICIPATE In consideration of the acceptance of this entry, I hereby release the sponsors, officials, volunteers, and anyone connected with Sixes Elementary School, Sixes ES PTA, or the Run for the Stars 5K/1-Mile Fun Run from all claims of injury or damages resulting from participating in or traveling to or photographs or records of this race for legitimate purposes without payment to me. Signature: _________________________________________Date:_________________ Parent or Legal Guardian’s signature required if participant is 18 years of age or under.

APRIL 26, 2013Friday Night: 6:30pm

Sixes Elementary ~ Canton GA100% of the proceeds benefiting the students of Sixes Elementary