When: Saturday, January 25, 2014 - 5K
Run/Walk and a One Mile Kids Fun Run
to follow (12 & Under) at 8 a.m.
Packet Pick Up: Friday, January 24,
2014, will be at the Rankin County School
District Office located at 1220 Apple Park
Place, Brandon from 3-6 p.m.
Where: Starting line is at the Rankin
Landing parking lot located off Spillway
Road at the Ross Barnett Reservoir.
Registration Information
Date: __________________________________________
Name: _________________________________________
Address: _______________________________________
City: ________________ State: _____ Zip: ___________
Phone: _________________________________________
Email: _________________________________________
Gender (Circle): Male Female
Age on Race Day: ___________
Event (Circle): 5K Walk 5K Run Fun Run
Adult Shirt Size (Circle): S M L XL XXL
Child Shirt Size (Circle): XS S M L
T-shirts can not be guaranteed
if not pre-registered.
5K Run
5K Walk
1 Mile Fun Run
Overall male and female winners,
masters male and female, grand
masters male and female, and top three
in each age group will be awarded
prizes. 19 and under, 20-29, 30-39,
40-49, 50-59, 60-69, 70 & over.
Overall male and female winners,
masters male and female, grand
masters male and female, and top three
in each age group will be awarded
prizes. 19 and under, 20-29, 30-39,
40-49, 50-59, 60-69, 70 & over.
Top three male and female finishers will
receive awards age group 0-12
Register online at:http://www.raceit.com/search/event.
aspx?id=23478
Mail form and entry fee to:Foundation for Rankin County
Public Schools, Inc.
Attention: Robin Haney
P.O. Box 1359
Brandon, MS 39043
Phone: 601-825-5590
E-mail: [email protected]
ACKNOWLEDGMENT AND RELEASE
THE UNDERSIGNED, being a participant in the Hot Chocolate Classic 5K Run/Walk and 1 Mile Fun Run, and in consideration
of the acceptance of my entry and registration to participate therin, does hereby forever release and agree to hold harmless. The Foundation for
Rankin County Public Schools, Inc., the Rankin County, Mississippi School District. Mississippi Race Timers, LLC and any and all sponsors and
providers of the Hot Chocolate Classic or any of their ofcers, boards, employees or agents, both individually and in their ofcial capacities as
such, from any and all claims, rights, demands or causes of action of every kinds and character arising from any injuries or damages sustained by
me in the Hot Chocolate Classic, it being understood and agreed that such release from liability and hold harmless agreement shall include but not
limited to any cause or causes of action related to personal injury, death, and/or hospital or medical bills or expenses of any other kind or nature
which I may suffer or incur as a result of my participation in the Hot Chocolate Classic.
I further warrant and represent that I am in proper physical condition to participate in the Hot Chocolate Classic and am not
participating in this event without consultation with my physician or against physician’s advise nor am I taking medications which would impair
my health or ability to participate in the Hot Chocolate Classic.
WITNESS OUR SIGNATURES on this the ____ day of ___________, 20____.
________________________________ ____________________ ____________________________
SIGNATURE (Parent/Guardian if under 18) EMERGENCY PHONE WITNESS
Entry Fee
$20 Adults pre-registered by
Thursday, January 9
$25 Adults after Thursday, January 9
and Race Day
$15 Children pre-registered by
Thursday, January 9
$20 Children after Thursday, January 9
and Race Day
Awards Ceremony
Recommended
