FIT FOR AGRICULTURE
Proceeds to Benefit Batson Children's Hospital

Half-Marathon / 10K Run

Timing provided by MS
Track Club
www.mstrackclub.com

Register online at
www.active.com

Saturday, December 14, 2013
8:00 a.m. Madison, Mississippi
Half Marathon/ 10K Run/1-Mile Fun Run
Entry Fees: $30 1/2 Marathon / 10K
$10 1-Mile Fun Run
8:00am
Madison Central High School
1417 Highland Colony Parkway
Register Online Active .com or by mail:
Southern AgCredit, 402 West Parkway Place,
Ridgeland, MS 39157
*NO RACE DAY REGISTRATION*
For more info: (601) 499-2850
Katy.Tillman@SouthernAgCredit.com

*New This Year: KID'S ZONE with
1-Mile Fun Run, Space Jumps,
Activities, Santa and more!
Proceeds to benefit Batson
Children’s Hospital

Friday, December 13, 2013
4:00-8:00pm
Southern AgCredit
402 W. Parkway Place, Ridgeland, MS

$30 Entry Fee for 1/2 Marathon/
10K
$10 Entry Fee for 1-Mile Fun Run

Mississippi Mojo Photo
Booth, Music,
Refreshments

Awards include YETI Coolers and
Fleet Feet gift cards for overall
winners, trophies for age group
winners, and medals for all Fun
Run participants

Half-Marathon

Name								
Address						
Phone/email								

10 K

(Packets may also be picked up the morning of the
race beginning at 7:00 a.m.)

USATF CERTIFIED COURSES
Half Marathon #MS13012MS
10K #MS13012MS

Register online at
www.active.com

Mail entry form and check to:
Southern AgCredit, 402 West ParkwayPlace , Ridgeland, MS 39157
Circe One:		

Packet Pick Up Party

FIT FOR AGRICULTURE

1-Mile Fun Run
Sex	

Age		

City				

DOB				
State		

Circle T-Shirt Size:

S

M

Zip		
L

XL

XXL ($2 extra)

WAIVER: In consideration of your acceptance of this entry, I hereby for myself, my heirs, my executors, and administrators, waive any and all rights and claims
for damages I may have against the Mississippi Track Club, Inc., and any individuals or organizations associated with this event, for any and all injuries or death
suffered by me in connections with said event. I hereby certify that I am adequately trained and fit to run in this race and I fully understand that my participation in this event is a completely voluntary under- taking of my own choosing, and further, I fully understand that in so doing, I assume all risks involved in
this event. In completing this form, I acknowledge that I am an amateur in such events. I also give permission for the free use of my name and picture in any
broadcast, telecast, or print media account of this event. I acknowledge that I have read and fully understand my own liability and do accept the restrictions.

Signature											

Date				
(Signature of parent or guardian required if under 18)

Fit For Agriculture Half Marathon/10k Run - Revised Flyer

  • 1.
    FIT FOR AGRICULTURE Proceedsto Benefit Batson Children's Hospital Half-Marathon / 10K Run Timing provided by MS Track Club www.mstrackclub.com Register online at www.active.com Saturday, December 14, 2013 8:00 a.m. Madison, Mississippi Half Marathon/ 10K Run/1-Mile Fun Run Entry Fees: $30 1/2 Marathon / 10K $10 1-Mile Fun Run 8:00am Madison Central High School 1417 Highland Colony Parkway Register Online Active .com or by mail: Southern AgCredit, 402 West Parkway Place, Ridgeland, MS 39157 *NO RACE DAY REGISTRATION* For more info: (601) 499-2850 Katy.Tillman@SouthernAgCredit.com *New This Year: KID'S ZONE with 1-Mile Fun Run, Space Jumps, Activities, Santa and more! Proceeds to benefit Batson Children’s Hospital Friday, December 13, 2013 4:00-8:00pm Southern AgCredit 402 W. Parkway Place, Ridgeland, MS $30 Entry Fee for 1/2 Marathon/ 10K $10 Entry Fee for 1-Mile Fun Run Mississippi Mojo Photo Booth, Music, Refreshments Awards include YETI Coolers and Fleet Feet gift cards for overall winners, trophies for age group winners, and medals for all Fun Run participants Half-Marathon Name Address Phone/email 10 K (Packets may also be picked up the morning of the race beginning at 7:00 a.m.) USATF CERTIFIED COURSES Half Marathon #MS13012MS 10K #MS13012MS Register online at www.active.com Mail entry form and check to: Southern AgCredit, 402 West ParkwayPlace , Ridgeland, MS 39157 Circe One: Packet Pick Up Party FIT FOR AGRICULTURE 1-Mile Fun Run Sex Age City DOB State Circle T-Shirt Size: S M Zip L XL XXL ($2 extra) WAIVER: In consideration of your acceptance of this entry, I hereby for myself, my heirs, my executors, and administrators, waive any and all rights and claims for damages I may have against the Mississippi Track Club, Inc., and any individuals or organizations associated with this event, for any and all injuries or death suffered by me in connections with said event. I hereby certify that I am adequately trained and fit to run in this race and I fully understand that my participation in this event is a completely voluntary under- taking of my own choosing, and further, I fully understand that in so doing, I assume all risks involved in this event. In completing this form, I acknowledge that I am an amateur in such events. I also give permission for the free use of my name and picture in any broadcast, telecast, or print media account of this event. I acknowledge that I have read and fully understand my own liability and do accept the restrictions. Signature Date (Signature of parent or guardian required if under 18)