REDLANDS RUN 5K
Date: April 2, 2022
Time: 8:00 A.M.
Start/Finish: Play Garden Park Fulton, MS
Entry Fee: $25
Redlands Run Route
Registration:
Name: ___________________ _________ ___________________
First Middle Initial Last
Street Address: ____________________________________________
City, State, Zip: _____________________________________________
Email: __________________________ Phone Number: ____________
Date of Birth: _______________ Age on Race Day: _______________
Gender: _____ Female _____ Male
T Shirt Size (Adult): _____ S _____M _____L _____XL _____XXL
Emergency Contact: ______________________ ___________________
Name Phone Number
I understand that participation in this event is a potentially hazardous activity. I will not enter and participate unless I am medically able and properly trained. I assume all risks associated with this event, including but not limited to falls, contact with other persons, effects of weather including high heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of you accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release race organizers, officials, sponsors and volunteers of all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, recordings, or any other record of this event for any legitimate purposes.
Signature of Runner (Parent’s Signature if under 18)___________________________Date___________
*Make Checks Payable to Itawamba County Development Council
Email form to : vmartin@itawambams.com
Download Registration Form Below:
