Relay for Life 5k and Fun Run

Relay for Life 5k and Fun Run
Saturday May 3, 2014
Fun Run 8am/5K 8:30am
Clarkesville Elementary School
6539 Hwy 115 W Clarkesville, GA
Entry Fees: Pre-registration $25 by April 27, $30 afterwards until race day. Fun Run $15. T-shirts guaranteed to
all those participants pre-registered by April 11 only. Phantom Runner $15
Onsite registration begins at 7am OR you may register online at
Awards: Awards will be given to Overall M/F, Masters M/F and to three in age groups beginning 10 and under
through 70 and over.
Information: for additional information, please contact Cameron Lopez at [email protected] or Nancy Kelley
at [email protected]
---------PLEASE PRINT ALL INFORMATION- ONE ENTRY PER FORM-----------Mail Registration from to: Relay for Life 5K c/o AAA Race Services, 5666 Holiday Circle,
Oakwood, GA 30566 or May be dropped off at Southern Bank & Trust. Make checks payable
to: Stanley’s BFF’s
Name: _______________________________________Gender ____
Address: ___________________________________City_______________________
State______ Zip__________ Phone_______________
Email__________________ Age______
Shirt Size YM S M L XL Amount enclosed: _______5k or 1 mile Fun Run (circle one)
Waiver: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against the City
of Clarkesville and the American Cancer Society employees, volunteers, sponsors for injury or illness which directly or
indirectly results from my participation in this event. I further state that I am in the proper physical condition to
participate in an event of this nature.
Signature______________________________________ Date _____________________________
(Parent Signature if under 18)