Thames 5K Registration

A Super Run for Ordinary People 5K Run or 2 Mile Walk

Run through beautiful University Heights & Jamestown-Lincoln Neighborhoods

Packet pick up/registration Friday, Nov. 2, 5-7 pm, by the Thames track; Race day registration begins 7:30 a.m.

Awards: Best Costume, 5K awards to 1st, 2nd, 3rd male & female in each age group and overall male & female; masters and grand masters; walk awards to top 3 overall

5K age groups: <11; 12-19; 20-29; 30-39; 40-49; 50-59; 60-69; 70<

Fees: Non-refundable. Early: $20 for walk/run (by Oct. 16); Late: $25 for walk/run; Early family rate: $60 (for families over 3 people must register together. Unfortunately, there is NOT an ONLINE option for FAMILY RATES, but these must register in person or mail in forms)

Information: Email: Christie.moss@hattiesburgpsd.com Facebook: https://www.facebook.com/events/320023981424912/

Web site: https://sites.google.com/site/thames5krace/

Pre-register by October 16, 2013, by submitting and paying online or mailing/hand-delivering the form to Thames Elementary, 2900 Jamestown Road, Hattiesburg, MS, 39402 Make Checks Payable to "Thames Elementary PTA".

Name*

First NameLast Name

Phone Number

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Age on Race Day*

Will you do the 5K or 2 Miles Walk*

Shirt size*

Male or Female*

Registration Fee*

USDRegistration Fee

Waiver*

I agree my participating in this event is without assumption of any kind of responsibility by THAMES ELEMENTARY or Hattiesburg Public Schools, officials and assistants. I release all of the above from any claim for any injury I may sustain or suffer in connection with this road race. I further give permission for the use of my name and or photograph in post race publicity. I attest that I am physically fit and sufficiently trained for the completion of this event.

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