1 Mile Kids Fun Run Kids 14 and under
49th Annual Independence Day Festival
REGISTRATION: Entry Fee: $10 -- Kids 14 & Under Postmarked by June 26, 2017 $15 -- Kids 14 & Under Postmarked after June 26, 2017
1 Mile Kids Fun Run Kids 14 and under
$15 -- Adults (With T-shirt) Postmarked by June 26, 2017 $20 -- Adults (With T-shirt) Postmarked after June 26, 2017
St. Marys, Georgia
Free – Adults accompanying a child with NO T-SHIRT RACE DAY REGISTRATIONS: 8:00 a.m. until 8:45 a.m. at St. Marys Elementary School at 600 Osborne St.
Sponsored by St. Marys Kiwanis & Fellowship of Christian Athletes
AWARDS: Overall Boy & Overall Girl. Top 3 boys and girls in the following age categories: 14-13, 12-11, 10-9, 8-7, & 6 and under. Must be present at awards ceremony to receive award.
T-SHIRTS: All pre-registered entrants will receive a Festival t-shirt.
Saturday, July 1, 2017 @ 9:00 a.m. MORE INFO: [email protected] Brad Tippins (912) 882-7202 http://smkiwanis.com
Walk-up entrants will receive shirts based on availability.
RACE COURSE: The course will circle the grounds of the school. Kids will not be running on the street. Parents are welcome to join their kids.
2017 INDEPENCE DAY FESTIVAL KIDS FUN RUN ENTRY FORM Name: ___________________________________________________________________________________ DOB _____/_____/_______ Address:______________________________________________________________________________________Circle: M or F MAXIMUM NUMBER OF REGISTRATIONS: The number of participants
City:______________________________________________________________State:____________Zip:___________________ (children ages 14 and under) may be limited. To be assured of a spot please pre-register.
Email:______________________________________________________________Phone:_______________________________________ Start line at St. SMarys North on Osborne T-Shirt Size (Circle one) Child Sizes: SRACE M COURSE: L Adult Sizes: M St.L & Osborne. XL XXL
turn right on Dillingham with short portion in St. Marys Elementary Park, then
I know that running a road race is potentially hazardous activity which could cause injury or death. I should not enter and participate unless I am medically able and properly trained, and by my
right on Ready St. Right on St. Marys St. to return to Osborne and the
signature, I certify that I am medically able to perform this event, am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my
start/finish line a loop).I assume all risks associated with running in this event, including but participation in this event, including the right of any official to deny or suspend my participation for(course any reason is whatsoever. not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates or blades, or animals are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I. myself and anyone entitled to act on my behalf, release and indemnify the Organizers of this event and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence on the part of the persons named in the waiver.
________________________________________ ___________________________________________________________ ____________________ Signature
Parent’s Signature if under 18
Make Checks Payable to: St. Marys Kiwanis Club Mail to: Brad Tippins 707 Cinnamon Fern Trl. St. Marys, GA 31558 ONLINE REGISTRATION on Local Races: http://bit.ly/2m0ZBOi (Until 6/29/17) (Until 7/1/16)
Date
Official Use Only: BIBB NO. _____________
REGISTRATION: Entry Fee: $10 -- Kids 14 & Under Postmarked by June 26, 2017 $15 -- Kids 14 & Under Postmarked after June 26, 2017
1 Mile Kids Fun Run Kids 14 and under
$15 -- Adults (With T-shirt) Postmarked by June 26, 2017 $20 -- Adults (With T-shirt) Postmarked after June 26, 2017
St. Marys, Georgia
Free – Adults accompanying a child with NO T-SHIRT RACE DAY REGISTRATIONS: 8:00 a.m. until 8:45 a.m. at St. Marys Elementary School at 600 Osborne St.
Sponsored by St. Marys Kiwanis & Fellowship of Christian Athletes
AWARDS: Overall Boy & Overall Girl. Top 3 boys and girls in the following age categories: 14-13, 12-11, 10-9, 8-7, & 6 and under. Must be present at awards ceremony to receive award.
T-SHIRTS: All pre-registered entrants will receive a Festival t-shirt.
Saturday, July 1, 2017 @ 9:00 a.m. MORE INFO: [email protected] Brad Tippins (912) 882-7202 http://smkiwanis.com
Walk-up entrants will receive shirts based on availability.
RACE COURSE: The course will circle the grounds of the school. Kids will not be running on the street. Parents are welcome to join their kids.
2017 INDEPENCE DAY FESTIVAL KIDS FUN RUN ENTRY FORM Name: ___________________________________________________________________________________ DOB _____/_____/_______ Address:______________________________________________________________________________________Circle: M or F MAXIMUM NUMBER OF REGISTRATIONS: The number of participants
City:______________________________________________________________State:____________Zip:___________________ (children ages 14 and under) may be limited. To be assured of a spot please pre-register.
Email:______________________________________________________________Phone:_______________________________________ Start line at St. SMarys North on Osborne T-Shirt Size (Circle one) Child Sizes: SRACE M COURSE: L Adult Sizes: M St.L & Osborne. XL XXL
turn right on Dillingham with short portion in St. Marys Elementary Park, then
I know that running a road race is potentially hazardous activity which could cause injury or death. I should not enter and participate unless I am medically able and properly trained, and by my
right on Ready St. Right on St. Marys St. to return to Osborne and the
signature, I certify that I am medically able to perform this event, am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my
start/finish line a loop).I assume all risks associated with running in this event, including but participation in this event, including the right of any official to deny or suspend my participation for(course any reason is whatsoever. not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates or blades, or animals are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I. myself and anyone entitled to act on my behalf, release and indemnify the Organizers of this event and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence on the part of the persons named in the waiver.
________________________________________ ___________________________________________________________ ____________________ Signature
Parent’s Signature if under 18
Make Checks Payable to: St. Marys Kiwanis Club Mail to: Brad Tippins 707 Cinnamon Fern Trl. St. Marys, GA 31558 ONLINE REGISTRATION on Local Races: http://bit.ly/2m0ZBOi (Until 6/29/17) (Until 7/1/16)
Date
Official Use Only: BIBB NO. _____________
