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5K Run Application

Watermelon Festival 5 K Run/Walk
Saturday, June 29, 2013
RaceBegins at 8:00am

Race Director:  Bobby Edwards     Phone:  803-346-0013

Email:
bobbyedwards1964@yahoo.com

Website
www.hcmelonfest.org

 
CONFIRMATION & PACKET PICKUP
Race packets will not be mailed.  Confirmations will be emailed to those who include their email address on their entry form.
Pickup Race Packets between 6:30AM & 7:30AM at the Hampton Gazebo in front of the Court House on race day.

AWARDS & AGE GROUPS
●  Overall top three 5 K male and female finishers
will receive cash awards: 1st place - $100, 2nd place - $75 and 3rd place - $50


•  Top three 5 K male and female finishers between the ages of 13 – 19 will receive Gift Certificates:  1st place - $75, 2nd place - $50 and 3rd place - $25


•  The top 3 finishers in each age category receive awards in the following divisions:

                                                                    
Male & Female

12 & Under, 13-19, 20 -29, 30-39, 40-49, 50-59, 60 + 
                                
Master’s Male & Female (Top finisher age 40 and older)

Cash award winners are ineligible for age group awards.




Application
Watermelon Festival 5 K Run/Walk
Saturday, June 29, 2013

I wish to participate in the 5 K Run/Walk  ______________________

Last Name:  __________________________________________________________________________

First Name:  __________________________________________________________________________

Address:  ____________________________________________________________________________

City, State, Zip:  _______________________________________________________________________

Phone:  ______________________________  Email:  ________________________________________

Birth Date (month/day/year):  ___________________________________________________________

Age on Race Day:  __________  Gender:       Male _____     Female _____

T-Shirt Size (Included in Entry Fee)   
Adult:  S  _____  M  _____  L  _____  XL  _____  XXL  _____

                                                                
Youth:  S _____  M  _____  L  _____
                            
                                                                                      T-Shirts guaranteed for those registered by June 13.

                                                
Entry Fees:             Before June 13 - $20.00 – 13 and older Runners/Walkers

                                                                                                   
 $15.00 – Children 12 and under

                                                                                                       
After June 13 – Add $5.00

                                                                      Make checks payable to “Watermelon Festival 5 K Run”
                                                                 
Send to:  PO Box 203, Varnville, SC  29944

Liability Waiver & Release:  I know that running a road race is a potentially hazardous activity.  I will not enter and participate unless I am medically able.  I assume all risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me.  Having read this waiver and knowing these facts, I, myself and anyone entitled to act in my behalf, waive and release all representatives in connection with this event, including the City of Hampton, race committee, race officials, volunteers, and all sponsors, from all claims or liabilities of any kind arising out of my participation in this event.

Publicity Waiver:  I grant permission for the use of photos, motion pictures, recordings, and any other record of this event for any legitimate purpose.  I agree to accept the decision of the officials as final.

_______________________________________________                                                  ____________________________________
Signature (Guardian must sign if under 18)                                                                                  Date

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