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Harvest Moon Fun Run 5K Movie Night and Auction

 

 

 

Registration Form

 

Still Harvest Moon

5K and Fun Run

Still Elementary School, Powder Springs GA

Saturday - October 24, 2015

 

Stay for the Still Movie Night and Auction

 

Race Day Registration and Packet Pickup: Begins at 4:00 PM

Fun Run: Starts at 4:45 PM

5K: Starts at 5:00PM SHARP

Awards: Awards will be presented in the 5K to a variety of age groups

Registration:

  • $20 for the 5k by 10/20/15.  $30 afterward and on race day. 
  • $10 for the Fun Run by 10/20/15.  $15 for late and race day registration. 
  • Runners registering after 10/20/15 and on race day are not guaranteed a shirt or size. 
  • There is a Family Rate of $50.00 per family with a maximum of 2 adult runners. 
  • Those wishing to contribute and receive a race t-shirt without participating may register as a “Still Stampede Supporter” by 10/20/15.

RACE DAY REGISTRATION WILL BEGIN AT 4:00 PM AT THE STILL ELEMENTARY BUS PARKING LOT ON THE SIDE OF THE SCHOOL.

Timing and Results: Finish line management and results provided by Classic Race Services with results posted to www.classicraceservices.comwww.active.com, www.runningintheusa.com

and www.coolrunning.com.

Shirts and Goodies: Short sleeve t-shirts are guaranteed to those registered by 10/20/15. Plenty of post-race refreshments (drinks, fruit ...).

Series Affiliation: The race is part of the 2015 Black Bag Race Series.

Detach and Return to the PTSA Box in the front office

Name(s)________________________________________   Age(s)___________    M/F(s)_____________

Address________________________________________   Zip____________   Phone_______________

Email Address___________________________________ Shirt Size   YS   YM   YL   AS   AM    AL   AXL

I know that running a road race is a potentially hazardous activity which could cause injury or death.  I will not enter or participate unless I am medically able and properly trained and by my signature I certify that I am medically able to perform this event.  In consideration of the acceptance of my entry, I for myself, my heirs, my executors, administrator and assigns, waive, release, and discharge any and all rights and claims for damages against any race officials, any government entity, and all sponsors. 

 

_______________________________________________           __________

Signature of parent/guardian                                                   Date

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