Motley County ISD
1st Annual Motley Miler
5K/1 Mile Run & Walk
Saturday, June 6, 2015 at 9:00 AM
Proceeds benefit MCISD Technology
Registration:
$20 Adult 5K
$10 Adult 1 Mile
$5 Child (18 & under) 5K OR 1 Mile
Course:
The race will start and finish at Motley County School. The course runs through Matador.
Check-in:
Check-in at Motley County School (1600 Bundy St.) starting at 7:30 AM.
Awards:
All participants that register by May 16th are guaranteed a t-shirt.
Awards for top overall 5K male/female.
5K medals for top 3 runners in each division: 18 & Under, 19-29, 30-39, 40-49, 50-59, 60 & Over
1 Mile medals for top runner in each division: 18 & Under, 19-29, 30-39, 40-49, 50-59, 60 & Over
Race Coordinators:
Steve Wolf
Abbey Eudy
(806) 470-5933
(806) 324-3413
[email protected]
[email protected]
Please fill out registration form and return with check to school or mail to:
Motley County ISD, Attn: Motley Miler
PO Box 310, Matador, TX 79244
Name(s): ____________________________________________________________________________
Address: __________________________________________________________________________
Phone: ______________________________
Email: _________________________________
Date of Birth: _________________________
Age: _____________
Gender: _________
______ 1 Mile Adult
______ 1 Mile Child
Check One: _____ 5K Adult
T-Shirt Size (circle): YS
______ 5K Child
YM
YL
S
M
L
XL
XXL
XXXL
XXXXL
Amount Paid: $_________________ (Please make check payable to Motley County ISD)
WAIVER: I know that running in the Motley Miler is a potentially hazardous activity. I should not enter and run unless I
am medically able and properly trained. I assume all risk associated with running in the Motley Miler, included, but
not limited to, falls, contact with other participants, the effect of the weather, including heat and humidity, traffic and
the conditions of the road, all such risk being known and appreciated by me. Having read this waiver and knowing
these facts I, for myself and anyone entitled to act on my behalf, waiver and release Motley County ISD and any and
all sponsors and their representatives, supporters, and assignees for any and all injuries or liabilities of any kind arising
out of my participation in this event.
Date: _________________
Signature of Participant: ___________________________________
Signature of Parent/Guardian (if Participant is under 18): ____________________________________________