1 Mile Kids Fun Run Kids 14 and under

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50th Annual Independence Day Festival

REGISTRATION: Entry Fee: $10 -- Kids 14 & Under Postmarked by June 25, 2018 $15 -- Kids 14 & Under Postmarked after June 25, 2018

1 Mile Kids Fun Run

$15 -- Adults (With T-shirt) Postmarked by June 25, 2018

Kids 14 and under

$20 -- Adults (With T-shirt) Postmarked after June 25, 2018

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 Street

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: Runners pre-registered by June 25th will received race shirts on race day. Those registered after June 25th will receive race shirts after the

Saturday, June 30, 2018 9:00 a.m. St. Marys Elementary School 600 Osborne St. MORE INFO: [email protected] Brad Tippins (912) 882-7202 http://smkiwanis.com

event. An additional $5 mailing fee will apply for those runners who are not pre-

registered by June 25th and request their shirts be mailed. 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.

Elementary School & School Group Competition: The Camden County elementary school or School group with the most students participating will receive a trophy!

Online Registration: https://localraces.com/events/st-marysga/independence-day-festival-1-mile-kids-fun-run (Until 6/28/18)

2018 INDEPENCE DAY FESTIVAL KIDS FUN RUN ENTRY FORM – Please Print LAST Name:___________________________________ FIRST Name:_____________________________ DOB _____/_____/_______ Address:______________________________________________________________________________________Circle: M or F City:______________________________________________________________State:____________Zip:________________________ MAXIMUM NUMBER OF REGISTRATIONS: The number of participants Email:______________________________________________________________Phone:_______________________________________ (children ages 14 and under) may be limited. To be assured of a spot please

pre-register. Elementary School/School Group: _____________________________________________________________________

T-Shirt Size (Circle one) Child Sizes: SRACE M COURSE: L Adult Sizes: M St.L & Osborne. XL XXL Start line at St. SMarys North on Osborne 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 onand Ready St. Right St.toMarys to return toofficial Osborne signature, I certify that I am medically able to perform this event, am in good health, am properly trained. on I agree abide by St. any decision of a race relativeand to anythe aspect of my

participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but

start/finish line (course is a loop).

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

Date

Official Use Only: BIBB NO. _____________