2016 Annual Labor Day Kingsland Catfish Festival
5K Run/1 Mile Fun Run
Saturday September 3, 2016
Kingsland, GA Registration begins at 6:00 AM and ends at 6:45 AM on Saturday , September 3, 2016 at the corner of Williams Avenue and Highway 17. The run will start promptly at 7:00 AM, rain or shine. Awards will be given to 1st place winners in each age division immediately following the conclusion of the last runner completing the course. Official Annual Labor Day Catfish Festival T‐shirt will be given to ALL PRE‐REGISTERED participants! The pre‐registration period ends on 8/26. Your form and payment must be received by our organization by 8/26 to qualify as 'pre‐registered'.
100% of the proceeds from this event benefit Justin’s Miracle Field!
Please send registration form and payment to: Justin’s Miracle Field, P. O. Box 37, Kingsland GA 31548 (Please make checks payable to “Justin’s Miracle Field”)
REGISTRATION FOR 2015 KINGSLAND CATFISH FESTIVAL 5K RUN Register before August 26, 2016 ‐ $20.00 Register after August 26, 2016 ‐ $25.00 Students & 1 Mile Fun Run ‐ $10.00 (anytime) T‐Shirt sizes (circle one): Small Medium Large X‐Large Please check below for
event you wish to participate:
5K Race:______
1 Mile Fun Run: _____
Name:________________________________________________________ Sex:______ Age:______ Address:_________________________________________________________________ Street
City Zip Phone:_______________________ Email: ________________________________________________ Person to contact in case of emergency
______________________________________________________ Name/Relation Phone Release of liability: In consideration of the entry, I the undersigned, intending to be legally bound, hereby for myself or anyone on my behalf, release any and all claims for damages I incur against the Kingsland Community Betterment Program, City of Kingsland, The Miracle League of Camden County, GA, race and festival committees, race sponsors, and their representatives, successors, and assigns for any and all injuries and death suffered by me in said event. I attest and verify that I know participating in a running event can be potentially hazardous activity. However, I have been sufficiently trained for the competition of this event and know that I am racing at my own risk. I have read this waiver of liability and understand and agree with it.
Signature:__________________________________________ Date:______________ (Under 18, your parent or guardian must sign for you)