1. Third Annual Just Have a Ball 5K
Run/Walk
Sponsored by the Rotary Club of Madison-Gluckstadt to benefit
The Partnership for a Healthy Mississippi’s project, Just Have A Ball
Saturday, June 8, 2013
Register through Friday, June 7 - Run/Walk Starts: 7:30 a.m.
Refreshments will be provided - A Mississippi Track Club Event - Door Prizes by Fleet Feet Sports and
others
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Join the Rotary Club of Madison-Gluckstadt and other sponsors for this fun-filled event that begins and ends at Fleet Feet Sports of
Ridgeland. All proceeds will be donated to The Partnership for a Healthy Mississippi project, Just Have A Ball. The Partnership is a
501(c)(3) nonprofit organization that raises the awareness of play as a way to combat childhood obesity in Mississippi.
Race day registration will be held in the parking lot of Fleet Feet Sports in Ridgeland’s Trace Station Shopping Center. Just Have a Ball
dry fit t-shirts will be included with race materials for all entrants who pre-register before June 1, 2013. Any remaining shirts may be
purchased without an entry fee. Awards will be given to the top male and female runners in Overall, Masters, and Grand Masters
categories in standard five-year age groups from 14-70, and to walkers in standard ten-year age groups. Packet pickup will be held
from 3-6 p.m. at Fleet Feet Sports on Friday, June 7, 2013. There will not be registration the day of the event.
For more info: Chris White (601-454-2420/cwhite0926@msn.com) or Joe Lee (601-668-
8572/dogwoodpress@bellsouth.net).
REGISTRATION FORM
5K WALK: [ ] 5K RUN: [ ] 1 MILE FUN RUN: [ ] (children 15 and under)
Name: _____________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________
Email: ___________________________________________ Phone: (home)________________ (mobile) __________________
Date of Birth: _________________________________ Age: (as of June 7, 2013) _________ Male: [ ] Female: [ ]
T-shirt size: S[ ] M[ ] L[ ] XL[ ] XXL[ ] ($2.00 extra)
Cost: Pre-registered (5K run, walk, and fun run): $20
Family (5 maximum): $60
T-shirt only: $15
I, the undersigned, in consideration of acceptance of the entry and registration as participant in the Just Have A Ball 5K, waive any
and all claims which I and my heirs or assigns may now or hereafter have against Madison-Gluckstadt Rotary Club, its members, The
Partnership for a Healthy Mississippi, volunteers and sponsors of the Just Have A Ball 5K which may indirectly or directly result from
my participation in the Just Have A Ball 5K. I further warrant and represent that I am in proper physical condition to participate in the
Just Have A Ball 5K and am not participating in this event against physician’s advice nor am I taking medications which would impair
my health or ability to participate in the Just Have A Ball 5K.
Participant’s Signature: ________________________________________________________ Date: ________________________________
Signature of Parent or Guardian: (if participant is under 18): __________________________________________________________
Mail Registration Forms to: Rotary Club of Madison-Gluckstadt, P.O. Box 474, Madison, MS 39130