1. 5K Run is
sponsored by
OCH Regional
Medical Center
Old Cotton Mill 5K Run
and 1 Mile Fun Run
Mail registration fee to:
Cotton District Arts Festival – 5K Run
Starkville Arts Council
101 S. Lafayette Street, Suite 18
Starkville, Mississippi 39759
Make checks payable to: Cotton District Arts Festival – 5K Run
or you can register online at: www.racesonline.com
CERTIFICATION
# MS11012MS
RACE DAY
Saturday, April 20, 2013
________________________________________________________________________________________
5K starts at 8:00 am.
First Name Last Name
Fun Run begins at
approximately 10 am.
________________________________________________________________________________________
EMail
REGISTRATION
Early-Bird Registration for
________________________________________________________________________________________ both the 5K and Fun Run goes
Address through March 1, 2013.
________________________________________________________________________________________
Regular Registration for
City State Zip
both 5K and Fun Run begins
on March 2 through
________________________________________________________________________________________
Phone Cell Phone April 19, 2013.
Race-Day Registration
Age on Race Day: _______________________________ Sex: _______________________________________ opens at 7:00 am
on Saturday,
T-Shirt Size (5K Only): S M L XL XXL (Circle One) April 20, 2013.
All Fun Run participants will receive a Finisher’s Medal
ENTRY FEE
Early-Bird 5K $20
Regular 5K $25
Waiver: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against Race-Day 5K $30
officials or sponsors of the Old Cotton Mill 5K Run for injury or illness which may directly or indirectly result from my
participation. I further state that I am in proper physical condition to participate in the event.
Early-Bird Fun Run $10
Regular Fun Run $10
________________________________________________________________________________________
Race-Day Fun Run $15
Runner’s Signature Date
(Entrants younger than 18 years old require a parent or guardian signature)
________________________________________________________________________________________
Guardian’s Signature Date
Award Ceremony Following the 5k Race (approximately 9:15) on Stage 1
Run Divisions / Group (under 14, 15–19, 20–24, 25–29, 30–34, 35–39, 40–44, 45–49, 50–59, 60+)
For more information contact
Kristen Coghlan
kcoghlan@garan.com
662.312.5798.