Fifth Annual Wiphan Warthog Waddle Date: Saturday, February 21, 2015 Time: 6:45 AM- Race Packet Pick-up 8:00 AM – 1K Fun Run 8:30 AM – 5K Run/Walk 9:30 AM – Awards Start: Fellowship Bible Church QUALIFIER! 480 West Crossville Road Roswell, Georgia 30075 Cost: 1K Kids Fun Run - $15.00 5K Run/Walk - $25.00 if received by February 10, 2015 $30.00 February 11 to Race Day Phantom Runner - $25.00 Register: Online at www.wiphan.org or www.www.active.com In person at: PTS Sports Sweet Apple Village 12050 Etris Road, Roswell, GA 30075 T-shirts guaranteed for registrations received before February 10, 2015 Proceeds: To benefit impoverished widows and orphans living in HIV/AIDS ravaged Zambia. Wiphan provides skill training to widows and an education, discipleship, basic medical care, plus 5 meals-a-week to orphans. Our goal is to raise $30,000 to help care for 650+ orphans and vulnerable children. Sponsored Runners: Use Facebook, Twitter and email to ask friends and family to sponsor your run. An award will be given for the top fundraiser. Sign up at www.active.com. This is a great way for kids to get involved! Technical t-shirt for Participants . Chip Timing . Hand-carved African Awards Crafts for Kids. African Marketplace . Exhibitors . Food . Family Fun 2015 Wiphan Warthog Waddle Entry Form Please Circle One: 5K Run/Walk 1K Fun Run Phantom Runner First Name: _______________________ Last Name: ________________________ Address: ________________________________City: ______________State: ______Zip: _________ Sex: M F Age: ______ Date of Birth: _________ Phone: ________ Adult T-shirt size: S M L XL XXL Youth T-shirt size: S M L Email: _______________________________________ In consideration of acceptance of the entry, I waive any and all claims for myself and my heirs against the sponsors, organizer, officials and volunteers of the above Wiphan Warthog Waddle 5K/1K for injury that may result directly or indirectly from my participation in this event. I further state that I am in proper physical condition to participate. I understand t-shirts sizes are guaranteed for registrations received before 2/10, are available ONLY on race day, and no size exchange will be possible. Signature (over 18): ______________________________________ Signature of Parent/Guardian (if under 18): ____________________________________ Make entry fee payable and mail to: Wiphan Care Ministries, P.O. Box 598, Roswell, GA 30077