5K RUN / 1 MILE FUN WALK

RUNNING WITH BELLS ON – LITERALLY!!! ALL PROCEEDS BENEFIT FAIRGROVE MIDDLE SCHOOL ATHLETICS.

PRIZES, DJ AND LOTS AND LOTS OF CHRISTMAS FUN!!!! PRIZES AWARDED FOR BEST HOLIDAY ATTIRE!!!

WHEN:Saturday, December 13, 2014 @ 9:00 a.m.

WHERE:Fairmont Community Park

Fairmont, NC 28340

EARLY REGISTRATION: $20.00/ $10.00 FOR FAIRGROVE MIDDLESTUDENTS

RACE DAY REGISTRATION: $25.00

1 MILE FUN WALK: ALL AGES: $5.00

REGRISTRATION INCLUDES A SANTA HAT AND JINGLE BELLS!!

RACE DAY REGISTRATION STARTS @ 7:30 A.M.

MAKE CHECKS PAYABLE TO: FAIRGROVE ATHLETICS – REGISTRATION FORM CAN BE FOUND ON OUR WEBSITE @ FOR MORE INFORMATION PLEASE CALL (910) 536-3137

FAIRGROVE MIDDLE 1ST ANNUAL JINGLE RUN 5K / 1 MILE FUN WALK

Saturday, December 13, 2014 – 7:30am

Fairmont Community Park

Registration Form

Full Name: ______

Gender: Male /Female (circle one) Age: ______Activity: Running / Walking (circle one)

Mailing Address: ______

City: ______State: ______Zip Code: ______

Phone: ______email: ______

Event Information: Fairgrove Middle Athletics is hosting its 1st ever Jingle Run to benefit Fairgrove Middle Athletics. All proceeds will go to our Athletic Department to benefit needs for sports equipment, as well as student needs.

Each participant will receive a Santa Hat and Jingle Bells and a prize will be awarded to the best dressed in Holiday Attire!!! Race starts @ 9am, registration begins @ 7:30 am.

RACE FEE: Early registration $20.00 / $10.00 for Fairgrove Middle Students. Day of fee will be $25.00

Please make checks payable to Fairgrove Middle School Athletics and can be mailed to:

1953 Fairgrove Middle School Rd., Fairmont, NC 28340

EVENT DISCLAIMER: Please review the following waiver and disclaimer. By adding your signature, you accept this waiver and disclaimer. Waiver and Release: By participating in the Event, I do so at my own risk. I assume all risk of injury, illness damage or lost to me or my property that might result, including without limitation, any loss or theft of personal property. I agree on behalf of myself and my personal representatives, to release and discharge the organizers of this event, its principals, its officers & directors, its employees, all sponsors and their representatives and employees from any & all claims or causes of actions arising out of their negligence. I acknowledge that I have carefully read this “Waiver and Release” and fully understand that is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all Event sponsors for the negligence. I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the Event without compensation.

I AGREE: Sign here: ______.