1. FIT FOR AGRICULTURE
Proceeds to Benefit Batson Children's Hospital
Half-Marathon / 10K Run
Timing provided by MS
Track Club
www.mstrackclub.com
Register online at
www.active.com
Saturday, December 14, 2013
8:00 a.m. Madison, Mississippi
Half Marathon/ 10K Run/1-Mile Fun Run
Entry Fees: $30 1/2 Marathon / 10K
$10 1-Mile Fun Run
8:00am
Madison Central High School
1417 Highland Colony Parkway
Register Online Active .com or by mail:
Southern AgCredit, 402 West Parkway Place,
Ridgeland, MS 39157
*NO RACE DAY REGISTRATION*
For more info: (601) 499-2850
Katy.Tillman@SouthernAgCredit.com
*New This Year: KID'S ZONE with
1-Mile Fun Run, Space Jumps,
Activities, Santa and more!
Proceeds to benefit Batson
Children’s Hospital
Friday, December 13, 2013
4:00-8:00pm
Southern AgCredit
402 W. Parkway Place, Ridgeland, MS
$30 Entry Fee for 1/2 Marathon/
10K
$10 Entry Fee for 1-Mile Fun Run
Mississippi Mojo Photo
Booth, Music,
Refreshments
Awards include YETI Coolers and
Fleet Feet gift cards for overall
winners, trophies for age group
winners, and medals for all Fun
Run participants
Half-Marathon
Name
Address
Phone/email
10 K
(Packets may also be picked up the morning of the
race beginning at 7:00 a.m.)
USATF CERTIFIED COURSES
Half Marathon #MS13012MS
10K #MS13012MS
Register online at
www.active.com
Mail entry form and check to:
Southern AgCredit, 402 West ParkwayPlace , Ridgeland, MS 39157
Circe One:
Packet Pick Up Party
FIT FOR AGRICULTURE
1-Mile Fun Run
Sex
Age
City
DOB
State
Circle T-Shirt Size:
S
M
Zip
L
XL
XXL ($2 extra)
WAIVER: In consideration of your acceptance of this entry, I hereby for myself, my heirs, my executors, and administrators, waive any and all rights and claims
for damages I may have against the Mississippi Track Club, Inc., and any individuals or organizations associated with this event, for any and all injuries or death
suffered by me in connections with said event. I hereby certify that I am adequately trained and fit to run in this race and I fully understand that my participation in this event is a completely voluntary under- taking of my own choosing, and further, I fully understand that in so doing, I assume all risks involved in
this event. In completing this form, I acknowledge that I am an amateur in such events. I also give permission for the free use of my name and picture in any
broadcast, telecast, or print media account of this event. I acknowledge that I have read and fully understand my own liability and do accept the restrictions.
Signature
Date
(Signature of parent or guardian required if under 18)