CCHS Track KEEP CALM and 5K

CCHS Track KEEP CALM and 5k

Saturday October 18th 8:00 am Miles/Webb Field House @ L. E. Bell Field Registration Form Name ______Gender: Male Female Age on Race Day ______Mailing Address______Phone # ______Shirt Size S M L XL 2XL

5k Information: The Cleburne County Track Team is sponsoring a 5k race. The course will begin around the track at the football field and continue around roads at the school, ending at the field house. This course is different than the course for the Strides of March (not as hilly). Proceeds will benefit the CCHS track team. Admission will be $15 ($2 discount for ARC) if registration is received by October 11. After the deadline the price increases to $18 for all participants.

Medals: Medals will be awarded for the top 3 overall finishers male and female. We will also award medals to the top 3 male and female finishers in each age group starting at 10 and under and going 11-15, 16-20, 21-25 and so on up to 65 and above.

Prizes: All registered runners will receive a cool Keep Calm and 5k t-shirt, a goody bag, and be eligible for door prizes.

Refreshments: We will have 2 water stations on the course plus refreshment available at the start/ finish line.

Mail registration fees to: Michael Graben 234 Ashton Place Heflin, AL 36264 Event Disclaimer: Please review the following waiver and disclaimer. By adding your signature, you accept this waiver and disclaimer. By participating in this event, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property. I consent to medical treatment in the event of injury, accident, and/or illness during the event. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge the organizers of this event, its principals, it officers and directors, its employees, all sponsors and their representatives and employees from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that I have carefully read this ‘Waiver and Release’ and fully understand that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all event sponsors for their negligence. I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the event without compensation.

Signature ______Under 18 Parent Signature ______. ______