1. Salute to the Military 5k
Saturday, October 19, 2013
8:00 A.M.
Air National Guard Combat Readiness Training Center
Honorary Chairman Congressman Steven Palazzo
Proceeds of the 5k to benefit the Mississippi Gulf Coast Honor Flight, a non-profit
program honoring the service and sacrifices of America’s World War II Veterans.
Where: Air National Guard Combat Readiness Training Center
4715 Hewes Avenue, Gulfport
Registration Fee: $25 / $20 for veterans, retirees and active service members
Make checks payable to Mississippi Gulf Coast Honor Flight
Mail to: C/O Kiawanis Division 14 Foundation
2000 24th Avenue, Gulfport, MS 39501
Preregister to receive a t-shirt
Name: ___________________________________________________________
Address: ___________________________________________________________
City: ____________________________ State: ________ Zip: _____________
Email: ___________________________________________________________
Age: ______________ Gender:________________
Shirt size: Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large
In consideration of the acceptance of this registration entry, I, the undersigned, assume full responsibility for any
injury or accident which may occur during my participation in the race or while I am on the premise of this event;
and hereby release and hold harmless all sponsors, promoters, persons or entities associated with this event from
any and all injury damages whether it be caused by negligence of the sponsors or otherwise. I am physically fit and
personally able to participate in this event. I am responsible for all lost or stolen items during the event or on the
premises of the event.
Signature Date