Entry Fee: $25.00 pre-registration $30.00 day of Saturday, April 4, 2015 Registration at 9:00 Race begins at 9:30 Awards: The top three finisher s (Male and Female) in each age categor y will receive medals. Amenities: All pr e-registered racers will receive a custom designed T-Shirt (day of registrants will receive t-shirts while supplies last), halfway point water station. ~Mail Entry to: Miracle Makers, 720 East South Ave., Harrison, AR 72601~ Name_______________________________ Birth date_____________________ Corporate Team:_____________________________________________________ Gender_____ Age _____ Shirt Size – (circle one) YS YM YL S M XL XXL Male Runner_____ Male Walker_____ Female Runner_____ Female Walker____ Address___________________________________________________________ City, State, Zip______________________________________________________ Daytime Phone ( )_________________ Cell Phone ( )________________ RACE RELEASE: I know that participation in races are potentially hazardous activities. I should not enter and participate in this race unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the race. I assume all risks associated with participation including but not limited to falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the North Central Arkansas Pageant Association and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the race and/or club activities even though liability may arise out of negligence or carelessness on the part of the person named in this waiver. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. Participant Signature___________________________________________________________ Guardian Signature (if under 18)_________________________________________________ Participant’s Email Address _____________________________________________________ Please Read Thoroughly Miracle Makers 5K Saturday, April 4, 2015 9:30 a.m. If you do not pre-register, you may register on the day of the race at 8:30 a.m. Pre-registration is open until Friday, March 27, 2015. Pre-registration price is $25.00. Day of registration is $30.00 Registration begins at 8:30 April 4th at the Starting line. Divisions will be Runner: Male, Runner: Female, Walker: Male, Walker: Female Age groups: 1-9, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and over You may mail your entry form to Miracle Makers, 720 East South Avenue, Harrison, AR 72601 Please make checks payable to NCA Each pre-registered participant must sign for their own t-shirt and bib number in person. Your signature is required. All participants and friends/family members must park vehicles in the Junior High Parking Lot. No parking in the Soccer Field parking lot due to the location of the finish line. The top three finishers (Male and Female) in each age category will receive medals. A Corporate Participation plaque will be given to the team with the most participants. Please DO NOT remove your race number from the FRONT of your shirt at any time, even after you finish the race. We need these for winning photos. Walkers may not run. Any registered walker that jogs or runs any portion of the race will be disqualified from the walking competition. Runners may walk. Please stay to the right of the trail to allow participants to pass on the left. Walkers, please yield to runners. Corporate Team Information Must appoint a Team Captain to be the contact person Must have a minimum of 15 participants Must have an entry for each participant Please do not bring your pets to the event. Proceeds benefit Children’s Miracle Network and the North Central Arkansas Scholarship Association, An official preliminary to Miss Arkansas’ Outstanding Teen and Miss Arkansas.
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