Holiday Hustle 5K Run / Walk Location: Small Town Music in Canton, Ms Time: 6:30 5K, 6:00 Reindeer Trot To Benefit: Canton Academy Entry Fees: 5K Run / Walk $30.00 Reindeer Trot Fun Run (kids 12 & under) $20.00 Spirit Runner (t-shirt only) $20.00 Please print clearly (1 entry per form) Event (circle 1): T-shirt Size: YS 5K Run / Walk YM S M L Reindeer Trot XL Spirit Runner XXL (add $1) Name: ___________________________________________ DOB: _____/_____/_____ Address: _________________________________________________ City: ________________________ State: ______________ Zip Code: ___________ Phone: _____________________________________________ Male / Female: _____________ Email: ______________________________________________ In consideration of this entry acceptance, I hereby for myself, my heirs, executors and administrators, waive any and all rights and claims for damages I may have against the sponsoring parties or any individuals associated with this race for any and all lose, injuries, or death sustained by me in this event. I attest that I am physically fit and have sufficiently trained for competition of this race. I acknowledge that the Holiday Hustle 5K will take place rain or shine. In the event of unfavorable conditions and other acts of God that prevent the race from taking place, I acknowledge that my entry fee is non-refundable. Dashing through the City of Lights December 18, 2014 Signature: _____________________________________________________________ Date: ___________________ Make Checks Payable to Canton Academy Registrations that are not done online at www.cantonacademy.org must be returned to the High School office by the end of school Wednesday, December 10th and are not guaranteed the requested t-shirt size. Registration will be open to the public on race day beginning at 2:00.