5K Fun Run and Walk For Haiti

Trophies awarded to: Overall 1st, Male, Female & Masters(40+) Individual medals awarded for 1st, 2nd, 3rd in all age groups Ribbons for all kid participants. Medals awarded for 1st, 2nd, 3rd.
Date: March 22, 2014 Race time: 9:00a.m. Registration 8:00 a.m. to 8:45 a.m. Kiddie race time will be at 10a.m. It will be 1 mile. Location: Piney River Recreation Area off of Cedar St in Cabool, MO Entry Fee: $25.00 Pre-registration includes t-shirt: Deadline March 12 $15.00 Kiddie run only $30.00 Race day registration: No t-shirt guarantee Registration forms to be sent to: Craig Pounds PO BOX 830 Cabool, MO 65689 Checks to be made to the order of: Cabool Christian Church If you have any questions, please contact Craig Pounds at 417-967-6950

Name:____________________________________________ Gender:_________ Age (on race day)_________ Phone:____________________________________ Address:__________________________________________________________ E-mail address:______________________________________________________ (Watch for an e-mail as confirmation we have received your registration) Age group (Please circle one): 10 and Under 11-19 20-29 30-39 40-49 50-59 60+ T-Shirt size (Please circle one): (Youth) Small Medium Large (Adult) Small Medium Large XL Please sign the waiver statement below: In consideration of this entry, being accepted, I hereby for myself, heirs, executers and administrators waive and release any claims that I may have against the City of Cabool, Cabool Christian, or any of the sponsors involved in the Haiti Fun Run/Walk. I certify that I am physically able to participate in this event. Signature:___________________________________ Date:___________________

(All proceeds to benefit 2015 mission trip to Haiti)