*Is This Your First 5K Medals Will Be Given to Allfirst-Time 5Kparticipants!

LOST MOUNTAIN 5K FEBRUARY 27, 2016

The 4th annual Lost Mountain 5K is a community run/walk benefitting the MCCS 8th grade Washington, D.C. trip. The race route is an out-and-back that will begin and end at Midway Covenant Christian School in Powder Springs, located at the intersection of Midway Rd. and Dallas Hwy. This family-fun event is perfect for people of all ages and abilities. This is a Peachtree Road Race Qualifier.

New this year: Medals three deep in all age categories, male & female, and… *Is this your first 5K?? Medals will be given to all First-time 5K participants! Rain or shine event. Strollers welcome! Please, no dogs.

Packet pick-up: MCCS gym, Friday, Feb. 26, 3:30-5:30p.m.

Registration Fees:. $25—5K Run/Walk Early Registration (Last day—February 12) $30—5K Run/Walk Late Registration (Last day—February 25) $35—5K Run/Walk Registration at packet pick-up and day of race $25—Phantom runner

Race Day Schedule: 7:00-7:45 a.m. Race Day Registration/Packet Pick-up 8:00 a.m. 5K Run/Walk

Make checks payable to: MCCS - registration forms may be mailed to: Midway Covenant Christian School ▪ Attn: Kathleen Plumer ▪ 4635 Dallas Hwy ▪ Powder Springs, GA 30127

Registration also available at www.active.com

For more information contact: Kathleen Plumer [email protected] or MCCS 770.590.1866

Please retain top portion for dates and times, return bottom portion with payment.

NAME ______AGE ______SEX: M F

E-MAIL ADDRESS ______PHONE ______

EMERGENCY CONTACT ______CIRCLE RACE: 5K Phantom runner

T-Shirt size: YS YM YL S M L XL XXL ($2.00 additional fee)

*First 5K ______Medals will be provided to participants who register as “First-time 5K” participants by Feb. 12.

In consideration of accepting this entry I, the signee intending to be legally bound, hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against the “The Lost Mountain 5K” and Midway Covenant Christian School, their beneficiary organizations, their directors, sponsors, workers, volunteers, representatives, successors, assigns for any and all injuries suffered in this event.

______Runner’s Signature (Parent/Guardian if under 18) Date