Sunset Stampede 5K Run/Walk & Fun Run May 2, 2015 5K- 6:30PM Fun Run – 5:30PM  Navarre’s largest 5K!  Tech t-shirts and chip timing  After party with beer, rum punch, soft drinks, food, and live music www.navarresunsetstampede.com Register on-line at IMATHLETE.COM or active.com Portion of event proceeds will benefit the Navarre Beach Marine Science Station 2015 Sunset Stampede 5K Entry Form □ 5K Run by April 12 ($25) □ 5K Run after April 12 ($30) □ 5K Walk by April 12 ($25) □ 5K Walk after April 12 ($30) □Fun Run ($5) Race Bib Number (WALKING ONLY) Official use only First Name Last Name Male Female sex Age on Race Day Month Birthdate Day Year Shirt Size (circle) S M L XL 2XL Address City State Zip Code E-mail Phone Number - - I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including cold, snow and/or ice, high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and Run With It, Juana’s Inc., Santa Rosa County, sponsors, volunteers, and all afore mentioned’s employees, directors, representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I understand that dogs on leashes, in-line skates, and bicycles are prohibited and that violation of this prohibition will result in disqualification. By signing for my minor child I agree to the above waiver on their behalf and understand that all agreements, rules, regulations, and waiver of liability mentioned above apply to my child as well as me. I have read the Sunset Stampede waiver for the race and acknowledge and agree to all therein. Signature _______________________________________________________________________________________________ Date:______________ (Parent/Guardian if under 18) Make Checks Payable to: Run With It Send to or Drop off: Sunset Stampede; c/o Run With It; 170 Miracle Strip Pkwy SE; Fort Walton Beach, FL 32548