1. ARMED FORCES DAY
10K and 2mile Fun Run /Walk
May 18th , 2013, 7:30am
Camp Shelby, MS (South Gate Entrance)
Registration
 Pre-Registration: May 5th, 2013 checks payable to: Potential Energy Military Association
 700 Beverly Hills Rd. #123
Hattiesburg, MS 39401
$22.00 Non Pine Belt Pacer Members $15.00 Pine Belt Pacer Club Members/Military/Veteran
 Early Packet Pick –up /Late-Registration: $ 25.00 Friday , May 17th 2013,
Packet pick up held at:
Soccer Locker and City Runner
6098 US HWY 98 STE 3
Hattiesburg, MS 39402
 Race day packet pick up/ Race day registration:
 Saturday , May 18th , 2013 ,6:00 am at the start line near the Mississippi Armed Forces Museum $25.00
 Awards: All finishers receive a “dog tag” finisher’s medal
10K Run: Overall male and female winner will receive a plaque
2 mile run/walk division: Top 3 male/ female runners
Age group awards to top 3 male and female: 0-19, 20-29, 30-39, 30-39, 40-49, 50-59, 60-69, 70 and up
 T- Shirt: Guaranteed to those registered by May 5th , 2013
 Award Ceremony: 9:00am
Additional information and this registration form available on the following websites:
pinebeltpacer.org; woundedwarriorproject.org
racesonline.com for online registration
Registration:
Event (circle one) 10k 2mile run 2 mile walk
Name:________________________ Age on Race Day:____ D.O.B___/___/____
Address:__________________________ City/State/Zip:_______________________
Phone:(home)_______________(cell) ______________ e-mail: ______________________
Military or Veteran: Y/N Pine Belt Pacer member Y/N
Sex (circle one) M/ F T-Shirt Size (Circle one) S M L XL XXL
Disclaimer:
Participation in this event is on a voluntary basis. Distribution of this information does not constitute or imply an endorsement by
CSJFTC, the U.S. Army, the U.S. Department of Defense or the Mississippi Military Department ("military") of this event, the
Wounded Warrior Project or the Soccer Locker. Furthermore, distribution of this information does not constitute or imply an
endorsement by the military of any organization(s) involved with this event or the information, products, or services offered. The
military does not exercise any editorial control over the information contained on the attached flyer. The Distribution of this
message concerning matters of general interest to the military community does not constitute a waiver of proper military authority
to exclude future messages of this or any other nature.
Signature ___________________________ Date ____/____/_____
(Parent, if under 18 years of age)
**Drivers must have valid driver’s license to enter Camp Shelby**
**No animals**