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2015 Annual 5K WATERMELON RUN
Sat. June 20, 2015 Start Time 8:15 AM
Sponsored by the
Kiwanis Club of Monticello
Registration:
Location:
7 AM – 8 AM (Race will be “chip timed” by Gulf Winds Track Club)
First United Methodist Church – Family Ministry Center
(Corner of South Water Street & Hwy 90 West)
Entry Fees:
Register on or before 6/15/15 to guarantee shirt!
$20.00 shirt included (shirt based on availability after 6/15/15)
$15.00 shirt not included
Registration Day of Race $25.00 – shirt based on availability
Awards:
Three Deep Male & Female in each 5 year age group (under 10 to 80+)
Top Male & Female: Overall, Masters, Grandmasters & Local
Send Entries to:
Monticello Kiwanis Club – P.O. Box 357 – Monticello, FL 32345
Make Checks Payable to: Youth, Inc. or register online at Eventbrite.com
For more info, email: [email protected]
2015 Melon Run Entry Form (please print)
Last Name:______________________ First Name:__________________ Age*:______
Phone #:_______________
Sex: M or F (circle)
Date of Birth:______________
Address:______________________________________________________________
Street
City
State/Zip
T-shirt Size (Please Circle): Adult: S
M
L
XL
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able, physically fit and
properly trained. I assume any and all risks associated with this event including but not limited to falls, contact with other participants,
effects of weather, including high heat and/or humidity, and traffic and the conditions of the roads, all such risks being known and
acknowledged by me. I agree to abide by all the decisions of the race officials relative to my ability to safely complete this run. I agree not to
wear headsets, run with dogs, baby joggers or strollers during the race. Knowing these facts and in consideration of your accepting my
entry, I hereby, for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and
waive, release and discharge all Kiwanis Club of Monticello race officials, volunteers and all sponsors including their agents, employees,
assigns, or anyone acting on their behalf from any and all claims or liability for death, personal injury or negligence or carelessness on the
part of the persons named in this waiver. The Release and Waiver extends to all claims of every kind and nature whatsoever, foreseen or
unforeseen, known or unknown. The undersigned grants full permission to Kiwanis Club of Monticello and/or agents authorized by them to
use any photograph, videotapes, motion picture or any other record of this event for any legitimate purpose.
___________________________________
Signature (parent/guardian if under 18)
*Age as of Race Day