Loose Caboose 5k

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Information about Loose Caboose 5k

Published on February 22, 2014

Author: RodsRacers

Source: slideshare.net

Description

3.1.2014 - Newton, MS.

LOOSE CABOOSE 2014 5K Run/2 Mile Walk/Fun Run/Bike Ride Saturday, March 1, 2014 Name_________________________________________________________________________________________ Address_______________________________________________________________________________________ City________________________________ State________________________ Zip __________________________ Age Race Day_________________ Birthday__________________________________________________ Sex: M_________ F__________ Phone_____________________ Event: (circle one) 5K Run 2 Mile Walk Shirt Size ________________ Kids Fun Run Kids Bike Ride In consideration for the acceptance of my registration as a participant in the above entitled event and with the understanding that my participation in the event is only on condition that I enter into this agreement, for myself my heirs, and assigns, I hereby assume the inherent and extraordinary risks involved in this event and any risks inherent in any other activities connected with this event in which I may voluntarily participate. I expressly assume the risk of and accept full responsibility for any and all injuries (including death) and accidents which may occur as a result of my participation in this event and release Newton Chamber of Commerce, City of Newton, and each of their employees, volunteers, and representatives. I hereby waive any claim I may hereafter have as a result of any and all injury to my person or property as a result of my participation in this event, and any other activities connected to this event in which I voluntarily participate. I hereby agree to indemnify all of the above named persons for any and all claims including attorney fees and costs which may be brought against any of them by anyone claiming to have been injured as a result of an injury to me or my property which may occur as a result of this event. I certify that I have read and fully understand this release. I am of lawful age and legally competent to make this agreement. Signature ________________________________________________________Date________________________ Parent/Guardian __________________________________________________ Date _______________________ (If under 18 years of age) 5K/2  Mile  Walk     Registration  –  7  am   Race  Begins  –  8  am   Pre-­‐registration  Fee  -­‐  $20   Day-­‐of  Registration  -­‐    $25   Kids  Fun  Run   Ages  12  &  Under   All  participants  will  receive  a  t-­‐shirt  and  medal!     Race  is  approximately  3/10  of  a  mile.     There  will  be  an  award  for  best  costume!     Start  Time  –  10  am     Registration  -­‐  $10       Awards   5K  –  Overall  Male  and  Female  –  1st,  2nd  &  3rd   Walk  –  Overall  Male  or  Female  –  1st   All  preregistered  participants  WILL  receive  a  t-­‐shirt!     Kids  Bike  Ride   Ages  12  &  Under   All  participants  will  receive  a  t-­‐shirt  and  medal!     Race  is  approximately  1/2  of  a  mile.   Look  out  for  fun  obstacles  along  the  way!     Start  Time  –  2  pm   Registration  -­‐  $10     Helmets  MUST  be  worn!       Forms and Information: Newton Chamber of Commerce 601-683-2201 Mail or Drop-Off Registration Forms to: Newton Chamber of Commerce 128 South Main Street, Newton, MS 39345

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