2014 Junior Auxiliary 5K Run/Walk and Fun Run Entry Form

Please print clearly—1 Entrant per form. Photocopies will be accepted

Name: ______________________ Address: _____________________ City, State, Zip: ________________ ____________________________ Sex: M _________ F __________

RED HILLS FESTIVAL

5K RUN/WALK AND 1 MILE FUN RUN May 24, 2014 DOWNTOWN Louisville, MISSISSIPPI Sponsored by:

2014 5th Annual Junior Auxiliary Red Hills Festival 5K Run/Walk And 1 Mile Fun Run CASH AWARD TO OVERALL WINNERS

Age on Race Day (5-24-2014) ______ Check Race: 5K Run/Walk _____ Fun Run _____ Phone/e-mail: ________________ ____________________________ T-shirts: S __M__L__ XL__XXL__ (T-shirts for 5K participants only) Entry Fee: $20 (add $5 on race day) Fun Run: $5.00 (Non-Refundable) Make checks payable to: Junior Auxiliary of Louisville Mail to: Junior Auxiliary PO Box 894 Louisville, MS 39339

Please sign waiver on reverse side.

RED HILLS FESTIVAL DAY LOUISVILLE, MS Special Thanks to the Following for Donations of the Medallions and Cash Prizes for One Mile Fun Run. Anytime Fitness of Louisville D and J Farms Dan’s Discount Drugs Gookin’s Customs and Quick Lube

GT Physical Therapy Louisville Bankers Association Red Hills Fitness Waring Oil Company, LLC

May 24, 2014 Louisville, MS Special Thanks to The Taylor Group, Inc and Crowson Auto World for the Top Cash Prize Donations:

AGE CATEGORIES

JUNIOR AUXILIARY

AWARDS/PRIZES

Junior Auxiliary represents a serious endeavor on the part of women to be active and constructive community participants and to assume leadership roles in meeting community needs. Junior Auxiliary provides the member with the opportunity to serve and to be a vital part of the community. The objectives of the Association are to unite in one body all Junior Auxiliary Chapters and members to promote National and individual Chapter purposes; to encourage members to render charitable services which are beneficial to the general public, with particular emphasis on children; to cooperate with other Charitable 501 (c)(3) organizations."

Under 12 12– 14 15-19 20-24 25-29 30- 34 35 - 39

40-44 45-49 50-54 55-59 60-up

5K Run/Walk Prizes awarded to the first three in each age group $200.00 to Top Male Finisher $200.00 to Top Female Finisher All Participants will be placed in a drawing for door prizes from various Louisville Merchants 1 Mile Fun Run Prizes Top finisher in fun run will win $50.00 cash prize. All participants will receive a prize upon finishing and be entered into a drawing for (2) $50.00 cash prizes.

Junior Auxiliary of Louisville Profits go to projects to benefit the children of Winston County including the restoration of Ivy Park.

REGISTRATION

Registration fee for 5 K Run/Walk Preregistered $20.00 ($25.00 on race day) T-Shirts will be given to registered participants with post mark on or before May 5th, 2014 Post-race snacks and beverages are furnished. Hydration stations along race route. $5.00 registration for 1 mile Fun Run Contact: Angel Whitehead—662-803-7231 Mandy Howell-662-418-5620 Chamber of Commerce 662-773-3921

RED HILLS FESTIVAL Arts and Crafts Entertainment Food Art Display (at Library) Louisville Homecoming Antique Show/Sale Car Show 8:00 am—4:00 pm First Baptist Church Parking Lot

Release/Waiver: In consideration of my being a participant in the 5K road race/walk or fun run May 24, 2014 in Louisville, MS I, the undersigned, do hereby agree to assume all risk of harm, injury, or loss, of whatever nature resulting at said event and release, discharge, and forever hold harmless the Red Hills Run, the City of Louisville, MS, the Winston County Economic Development Partnership, the Junior Auxiliary of Louisville, the state of Mississippi, all sponsors, race officials, volunteers, contributors, agents and the representatives and successors associated with said event, from any and all claims which might arise from my participation in said event or from traveling to or returning there from. I certify that I am in proper physical condition and health for this event. I grant permission to all of the forgoing to use any photographs, movies, pictures, recordings, or any other record of this event for any legitimate purpose. I acknowledge that entry fees are nonrefundable and non-transferable for any reason. _______________________________ Signature /Parent or Guardian (if under 18 on race day)

Event Times: 5 K Run/Walk 8:00am One Mile Fun Run 9:00am Awards Ceremony 10:00am