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): ____________________________________________
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