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Registration Information

NNUAL
TH A
X
I
S

CLASSIC
RUN & WALK

KIDS FUN RUN

JANUARY 24, 2015


SUPPORTS THE FOUNDATION FOR RANKIN COUNTY PUBLIC SCHOOLS, INC

When Saturday, January 24, 2015.


5K run/walk and a one mile kids fun run to
follow (12 & Under) at 8:00 am.
Packet Pick UpFriday, January 23, 2015.
At the Rankin County School District Office
located at 1220 Apple Park Place, Brandon
from 3:006:00 pm.
Where Starting line is at the Rankin Landing
parking lot located off Spillway Road at the
Ross Barnett Reservoir.
Entry Fee
$20 for adults pre-registered by Thursday,
January 8.
$25 for adults after Thursday, January 8 and
on the day of the race.
$15 for children pre-registered by Thursday,
January 8.
$20 for children after Thursday, January 8
and on the day of the race.

Register online
www.raceit.com/Register/?event=29790

Mail form and entry fee


Foundation for Rankin County
Public Schools, Inc.
Attention: Robin Haney
P.O. Box 1359
Brandon, MS 39043

Phone 601-825-5590
E-mail robin.haney@rcsd.ms

Date:____________________________________________________
Name:___________________________________________________
Address:________________________________________________
City:_____________________________________________________
State:___________________________________________________
Zip:______________________________________________________
Phone:__________________________________________________
Email:___________________________________________________
Gender: Male Female
Age on race day:______________________________________
Event: 5K Walk 5K Run Fun Run
Adult Shirt Size: S M L XL XXL
Child Shirt Size: XS S M L
T-shirts can not be guaranteed if not preregistered.
Awards Ceremony
5K RunOverall male and female winners,
masters male and female, grand masters male
and female, and top three in each age group
will be awarded prizes. 19 and under, 2029,
3039, 4049, 5059, 6069, 70 & over.
5K Walk Overall male and female winners,
masters male and female, grand masters male
and female, and top three in each age group
will be awarded prizes. 19 and under, 2029,
3039, 4049, 5059, 6069, 70 & over.
1 Mile Fun RunTop three male and female
finishers will receive awards age group 012

ACKNOWLEDGMENT AND RELEASE


THE UNDERSIGNED, being a participant in the Hot Chocolate Classic 5K Run/Walk and 1 Mile
Fun Run, and in consideration of the acceptance of my entry and registration to participate therin,
does hereby forever release and agree to hold harmless. The Foundation for Rankin County Public
Schools, Inc., the Rankin County, Mississippi School District. Mississippi Race Timers, LLC and
any and all sponsors and providers of the Hot Chocolate Classic or any of their officers, boards,
employees or agents, both individually and in their official capacities as such, from any and all claims,
rights, demands or causes of action of every kinds and character arising from any injuries or damages
sustained by me in the Hot Chocolate Classic, it being understood and agreed that such release from
liability and hold harmless agreement shall include but not limited to any cause or causes of action
related to personal injury, death, and/or hospital or medical bills or expenses of any other kind or
nature which I may suffer or incur as a result of my participation in the Hot Chocolate Classic.
I further warrant and represent that I am in proper physical condition to participate in the Hot
Chocolate Classic and am not participating in this event without consultation with my physician or
against physicians advise nor am I taking medications which would impair my health or ability to
participate in the Hot Chocolate Classic.

WITNESS OUR SIGNATURES on this the ________________ day of ___________, 20_______________.
________________________________________ _______________________ ________________________
SIGNATURE (Parent/Guardian if under 18) EMERGENCY PHONE
WITNESS