7/27/2019 Way to Go Registration Form

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Registration Form

Name: __________________________________ Sex: ____________ Age on Race Day: __________Team Name: ____________________________________________________________________

Mailing Address: _________________________________________________________________

Event you are entering: 5.29K Run ________ 5.29K Walk ________ Fun Run ______

Email Address: ______________________________________ Phone Number: _________________

Circle Shirt Size: Adult S M L XL XXL Youth S M L

(Shirts are guaranteed only to preregistered racers.)

Waiver:In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am trav

o or from the event, during the event or while I am on the premises of the event. I am also aware of and assume all risks associated with participating in this e

ncluding but not limited to falls, contact with others, effect of weather, traffic, and conditions of the road. I, for myself and heirs and executors, hereby waive,

elease and forever discharge the event organizers, sponsors, promoters, and each of their agents, representatives, successors and assigns, and all other personssociated with the event, for all my liabilities, claims, actions or damages that I may have against them arising out of or in any way connected with my particip

n this event. I understand that this waiver includes any claims, whether caused by negligence, the action on inaction of any of the above parties, or otherwise.

nderstand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise. I understand th

he entry fee is non-refundable and non-transferable. I hereby grant full permission to any and all above parties to use any photographs, videotapes, motion

ictures, website images, recordings or any other record of this event. Race will be held rain or shine. No refunds. Not responsible for race packets not claimed

Signature: ___________________________________________ Date: _______________(Parent or guardian must sign for walkers or runners under 18 years of age)

Mail registration form and registration fee to: College Savings Mississippi

(Make checks payable to The Way to Go 5.29K) P.O. Box 120

Jackson, MS 39205

The Way to

5.29K Run/Walk

1 Mile Fun Run

September 20, 2014

Proceeds: Proceeds from the race will be used to award scholarships on race day! Eight of the

scholarships will be given to the top place finishers in each age group in the fun run. Three

scholarships will be given away as door prizes. Three additional scholarships will be awarded to th

teams with the most registered racers.

When: Saturday, September 20, 2014

Where: Renaissance at Colony Park The race will begin and end in the parking lot of the Renaissance.

Time: Race day registration/packet pick-up begins at 7:00am; Fun Run begins at 8:00am

5.29K Run/Walk begins at 9:00am

Cost: Run/Walk: $20 for preregistered racers (registration forms postmarked by September 13, 2014)

$25 registration, day of race.

Fun Run: $10 for preregistered racers (registration forms postmarked by September 13, 2014)

$15 registration, day of race.Amenities: Race shirt, post-race refreshments and kids area with face painting and inflatables.

Awards: Run/Walk medals will be presented to the male and female overall Run/Walk winners as well as fplace in the following age groups: 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Fun Run: All Fun Run finishers will receive a race day medal! The first place boy and girl in thefollowing age groups will receive a college scholarship through the MACS 529 plan:5 & under, 6-7, 8-9, 10-12

MACS Mississippis 529 savings plan!