When: Saturday, January 25, 2014 - 5K Run/Walk and a One Mile Kids Fun Run to follow (12 & Under) at 8 a.m. Packet Pick Up: Friday, January 24, 2014, will be at the Rankin County School District Office located at 1220 Apple Park Place, Brandon from 3-6 p.m. Where: Starting line is at the Rankin Landing parking lot located off Spillway Road at the Ross Barnett Reservoir. Registration Information Date: ___________________________ Name: ___________________________ Address: ___________________________ City: ________________ State: _____ Zip: ___________ Phone: ________________________ Email: _________________________________________ Gender (Circle): Male Female Age on Race Day: ___________ Event (Circle): 5K Walk 5K Run Fun Run Adult Shirt Size (Circle): S M L XL XXL Child Shirt Size (Circle): XS S M L T-shirts can not be guaranteed if not pre-registered. 5K Run 5K Walk 1 Mile Fun Run Over all male and female winners, masters male and female, grand masters male and female, and top three in each age group will be awarded prizes. 19 and under, 20-29, 30-3 9, 40-49, 50-59, 60-69, 70 & over. Over all male and female winners, masters male and female, grand masters male and female, and top three in each age group will be awarded prizes. 19 and under, 20-29, 30-3 9, 40-49, 50-59, 60-69, 70 & over. T op three male and female finishers will receive awards age group 0-12 Register online at: http://www.raceit.com/search/event. aspx?id=23478 Mail form and entry fee to: Foundation for Rankin County Public Schools, Inc. Attention: Robin Haney P.O. Box 1359 Brandon, MS 39043 Phone: 601-825-5590 E-mail: robin.haney@r csd.ms ACKNOWLEDGMENT AND RELEASE THE UNDERSIGNED, being a participant in the Hot Chocolate Classic 5K Run/Walk and 1 Mile Fun Run, and in consideration of the acceptance of my entry and registration to participate therin, does hereby forever release and agree to hold harmless. The Foundation for Rankin County Public Schools, Inc., the Ran kin County, Mississippi School District. Mississippi Race Timers, LLC and any and all sponsors and providers of the Hot Chocolate Classic or any of their ofcers, boards, employees or agents, both individually and in their ofcial capacities as such, from any and all claims, rights, demands or causes of action of every kinds and character arising from any injuries or damages sustained by me in the Hot Chocolate Classic, it being understood and agreed that such release from liability and hold harmless agreement shall include but not limited to any cause or causes of action related to personal injury, death, and/or hospital or medical bills or expenses of any other kind or nature which I may suffer or incur as a result of my participation in the Hot Chocolate Classic. I further warrant and represent that I am in proper physical condition to participate in the Hot Chocolate Classic and am not participating in this event without consultation wit h my physician or against physician’s advise nor am I taking medications which would i mpair my health or ability to participate in the Hot Chocolate Classic. WITNESS OUR SIGNATURES on this the ____ day of ___________, 20____. ________________________________ ____________________ ____________________________ SIGNA TURE (Parent/Guardian if under 18) EMERGENCY PHONE WITNESS Entry Fee $20 Adults pre-registered by Thursday, January 9 $25 Adults after Thursday, January 9 and Race Day $15 Children pre-registered by Thursday, January 9 $20 Children after Thursday, January 9 and Race Day Awards Ceremony