CLUB OF PASCAGOULA

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5K RUN & 1 MILE WALK

REGISTRATION & FURTHER DETAILS >>>>>>

SAT MARCH 3, 2018 | 9AMLA POINTE-KREBS HOUSE & MUSEUM

4602 FORT STREET | PASCAGOULADAY OF RACE REGISTRATION WILL BEGIN AT

8AM AND CLOSE AT 8:45 AM

RUNNER REGISTRATION, PAYMENTS & COURSE MAP AVAILABLE ONLINE

kiwanisofpascagoula.com/run2give

PRE-REGISTRATION: Deadline: February 16, 2018 Fees: $25 Runner | $15 1 Mile Walk Guaranteed 5k T-shirt

REGISTRATION: Deadline: March 3, 2018 Fees: $30 Runner | $20 1 Mile Walk

Check/Debit/Credit card payments are available day of race.

5K RUNNER

$251 MILE WALK

$15Children 10 & under can participate for free & will not receive an event shirt.

(PRE-REGISTRATION ENDS FEBRUARY 16, 2018)

PROCEEDS BENEFIT >>>>>>>• Read Around the World

Books distributed to 2nd Graders throughout Pascagoula/Gautier, Moss Point & RCS schools.

• Project Dictionary Dictionaries distributed to 3rd Grade students in Pascagoula, Moss Point & RCS schools.

• AEDs to local schools• Scholarships• Sponsoring of 4 local Key Clubs• Sponsoring of Aktion Club (only club in MS)

and much more....

ROUTE WINDS THROUGH THE OAK TREE LINED KREBSVILLE HISTORIC DISTRICT

TOUR LA POINTE-KREBS HOUSE AFTER RACE

CLUB OF PASCAGOULA

5K RUN & 1 MILE WALK

CLUB

OF

PASC

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ULA

________________________________________________LAST NAME FIRST NAME

______________________________________________HOME MAILING ADDRESS

______________________________________________CITY STATE ZIP

________________________________________________ (AREA CODE) PHONE #

________________________________________________E-MAIL (You will be contacted through email with event information)

AGE ON EVENT DAY (used for award purposes only) _________ SEX (please circle) MALE FEMALE SELECT (please circle) 5K RUN 1 MILE WALK T-SHIRT (please circle) ADULT S M L XL 2XL IS THIS YOUR FIRST KIWANIS 5K RUN/WALK? (please circle) Y N (WAIVER) I understand that the Kiwanis Club of Pascagoula Run2Give 5k Run & Family 1 Mile Walk (the “Event”) is an athletic event that should only be engaged in by persons who are physically fit and in good health, as determined by a physician. I also understand that my participation entails some risks, including but not limited to injury or death, caused by my actions as well as the acts or omissions of fellow participants. In consideration of your accepting this entry and allowing to participate in the Event, I, undersigned, intending to be legally bound hereby, for myself, my representatives, heirs, executors, and administra-tors, waive and release any and all rights and/or claims for damages I may have against the Kiwanis Club of Pascagoula (KCP), its officers, directors, volunteers, agents, successors, and assigns, and any and all sponsors, and their representa-tives, successors and assigns, from death or any and all injuries or damages suf-fered in said Event. I attest and verify that I will participate in this Event as a run/walk entrant, that I am physically fit for this Event and accept ALL risks associated with my participation. Further, I hereby grant full permission to KCP to use with-out compensation any photographs, videotapes, motion pictures, or any other recordings or other record of the Event containing my image for any purpose whatsoever. I agree that the courts located in Jackson Country, Mississippi, shall have exclusive jurisdiction over any legal matters with the laws of the State of Mississippi. If the participant is under 18 years of age, the undersigned repre-sents and warrants that he/she is the participant’s parent or legal guardian, and has the authority and knowledge to make the aforementioned representations and execute this Waiver on the participant’s behalf.

_______________________________ ____________Participant’s Signature Date

______________________________ ____________Signature Of Parent/Guardian (IF PARTICIPANT UNDER 18) Date

RACE STARTING TIMEAll proceeds of this race will go toward the children of our community.

REGISTRATION

ONLINE REGISTRATION, PAYMENTS & COURSE MAP

AWARDS

PARTICIPANTS RECEIVE

PRE-REGISTRATION

RUN/WALK REGISTRATION & WAIVER FORM

Medals will be awarded to the Top Overall Male & Female runners, First Overall Male & Female in each age division: 19 & under, 20-29, 30-39, 40-49, 50 & over.

Day of Race Payment Options:CHECK/CREDIT/DEBIT CARDS

ACCEPTED DAY OF RACEAN ADDITIONAL 3.5% + $0.15 FEE WILL BE ADDED FOR CARD USE.

RUNNER REGISTRATION, PAYMENTS & COURSE MAP AVAILABLE ONLINE

kiwanisofpascagoula.com/run2give

RETURN WAIVERS & REGISTRATION FEES TO: Kiwanis Club of Pascagoula– PO BOX 96, Pascagoula, MS 39568

All pre-registered participants are guaranteed a 2018 Kiwanis Run2Give t-shirt.

Children 10 & under can participate for free & will not receive an event shirt.

(Pre-registration ends February 16, 2018)

(February 17 - March 3, 2018)

5K RUNNER

$251 MILE WALK

$15

5K RUNNER

$301 MILE WALK

$20

SAT MARCH 3, 2018 | 9AMLA POINTE-KREBS HOUSE & MUSEUM4602 FORT STREET | PASCAGOULA

DAY OF RACE REGISTRATION WILL BEGIN AT 8AM AND CLOSE AT 8:45 AM