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Show your support for Jackson Noon Optimists Events in 2015
“Hope for Kids” 5K Run
Saturday, April 11, 2015
7:30 am start
Race will begin and end at Legion Field in Jackson City Park
EVENTS:
Youth 1 mile Walk or Run just for fun!
5K Walk – walkers must walk the entire course
5K Run – runners may walk or run throughout the
course.
AWARDS:
Medals for 1st-3rd place in each age group.
For 5K run only.
Age Divisions: Under 14, 15-19, 20-24, 25-29, 3034, 35-39, 40-44, 45-49, 50-54, 55-59, 60+
For MORE INFORMATION, PLEASE CALL:
Pat Abernathy 573-243-2525
Emily Collins: 573-579-8226
REGISTRATION:
Register online! Register for the Hope for Kids Run
at www.active.com or mail your registration to:
Pat Abernathy
620 Randy Dr
Jackson, MO 63755
Registration may also be dropped off at HealthPoint,
Dalton Florist, or Cash Book offices in Jackson
during regular business hours until April 10.
Registration includes a T-shirt and give-away bag.
Pre-registration packets can be picked up on Friday,
April 10, between Noon and 9 pm at HealthPoint
Fitness in Jackson, or from 6-7 am on race day at
Legion Field.
T-shirts to all participants who register by March
27
-----------------------------------------------------------------------------------------------------------------------------2015 “Hope for Kids” 5K Registration Form
Name __________________________ Daytime phone _______________ Email___________________
Address _______________________________________ City/State/Zip __________________________
Entry Fee:
$25 before race day, $30 on race day (Payment due at time of registration)
Non-refundable. Make checks payable to Jackson Noon Optimists.
Event: (Circle one)
Youth 1 mile
5K Run
5K walk
Age: ________ years on race day
Date of birth _________ Gender: (Circle one) Male
Female
If 13 or under and participating in the 5K, an additional waiver must be signed by parent/guardian.
T-shirt: (Circle one)
Adult sizes: S M L XL XXL XXXL Youth: 6-8
10-12
14-16
Waiver: I am aware that the event in which I am competing is a severe test for even the best-conditioned athlete. I am
physically and mentally prepared for this event. I hereby absolve the sponsors and organizers of the race of responsibility for any
injury that I may suffer because of my participation. I authorize Jackson Noon Optimists to use photographs for publicity.
Participant Signature _________________________________________________ Date ____________
Parent/Guardian for participants under age 18