Genoa, Arkansas

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NAME:______________________________________ ADDRESS:____________________________________ _____________________________________________________ CITY

STATE

ZIP

PHONE:___________________________________ AGE as of race date:________SEX: ________ (Circle one)

T-Shirt Size: Adult:

S

M

L

XL

XXL (add $1) XXXL(add $2)

Genoa Central Dragon Fire 5K Run/Walk

5K Walk:_____

12472 State Highway 196

5K Run: ____

Texarkana, AR 71854

REGISTRATION FORM:

WAIVER STATEMENT must be signed and submitted with registration. In consideration of the acceptance of this entry, I, the undersigned, assume full and complete responsibility for any injury or accident which may occur during my participation in the race or while I am on the premises of this event, and I hereby release and hold harmless the sponsors, promoters, and all other persons

Genoa, Arkansas

and entities associated with this event. I attest and verify that I have full knowledge of the risks involved in the event and verify that I am physically fit and sufficiently trained to participate in this event.

Signature

Date

______________________________________________ Parent’s Signature (if under 18)

Cathy Holder

April 22, 2017

Date

______________________________________________

Contact

Saturday

Dragon Fire 5K Trail Run/Walk

(903)826-2412

Please see inside for details.

Awards Presentation

April 22, 2017 Genoa, Arkansas Site & Course This will be the 1st Dragon Fire 5K TRAIL Run/Walk! The race will begin in front of the Elementary school on Hwy. 196. Runners will run on paved road and beautiful cross-country trail here around the schoolUnfortunately, strollers will NOT be able to do the course.

Awards will be presented after the completion of the Run/Walk.

Runners *Awards to top three overall male and female runners. *Awards to the top three runners in each of the following age groups. Age groups denoted with an * will be five deep.

Two miles east of Genoa Post Office on Highway 196 at Genoa Central Elementary. Parking is available at the gym.

Register by mail or on race day. Packets may be picked up on race date from 6:30 - 7:30 a.m.

Entry Fees $20.00 through April 21, 2017 $25.00 April 22/Race Day

***Families of 3 or more (same household): $15 per person with early registration $20 per person on April 22

Mail payment & entry form to: Genoa Central 5K Run/Walk 12472 State Hwy. 196, Texarkana AR 71854

Make checks payable to: Genoa Central School District

10 & under

20-24

11-12*

30-34

35-39

13-14*

40-44

45-49

15-16*

Starting Time

Registration & Packet Pickup

Trail Run/Walk 2017

Male & Female

Directions

8:00 am-Dragon Fire 5K Trail Run/Walk begins

Dragon Fire 5K

25-29

50 & Over

17-19*

Walkers

*

Awards to the top 5 walkers.

Walker Notice

*

To be eligible for walker award, individuals must walk the entire distance. Anyone jogging or running any portion of the race will be disqualified from the competition. If you sign up for the run, you may run or walk without being disqualified. Please keep in mind that POWER WALKERS appear to be running/jogging but they are not and will NOT be disqualified.

Thanks to our many fine sponsors who have donated money, prizes, food, and beverages. We appreciate your support!

Food & Prize Drawings

*

Drawings for cash and prizes following the races.

*

Drinks and refreshments will be available following the race.

*

Must be Present for Door Prizes (no exceptions)

All proceeds go to the Genoa Central

Boys & Girls Track Teams