Stone County Economic Development Partnership

Date: Saturday, April 3, 2010

Place: Wiggins, MS (begins at Blaylock Park in Downtown Wiggins)

Time:
8:00 am- 5K Run & 10K Run

9:30 am- Kid's Fun Run

Course: Hilly

Entry Fees:
$20.00 Pre-Registration
$25.00 Day of Race

$10.00 Kid's Fun Run

Awards/Medals:

T-Shirt
Participation Medals to all finishers that are 12 and under.
Grand Prize Medals to Overall Male and Female Winners in each event.
Medals to 1st and 2nd Place Winners in each of the following age groups in each event.

Male:

13-18
19-29
30-39
40-49
50-59
60 & Over

Female:

13-18
19-29
30-39
40-49
50 & Over

GENERAL INFORMATION: We invite the entire family to come and enjoy the Pine Hill Festival featuring: 5K & 10K Runs, Live Entertainment, Soap Box Derby, Car Show, Arts, Vendors, Talent Show and More! Food will be served all day by local and regional vendors. We look forward to welcoming all of our past participants and those who will experience the Pine Hill Festival for the first time. It's great family fun and we hope to see you on Saturday, April 3, 2010.

For more information on the Race or Booth space, please call the Stone County Economic Development Partnership @ 601.928.5418

Pine Hill Festival Run Registration
Name:
Address:
City:
State:
Zip:
Age:
Birthday:
Sex:	Male Female
T-Shirt Size:
	5K Run 10K Run Kid's Fun Run

RELEASE WAIVER IN CONSIDERATION OF YOUR ACCEPTANCE OF MY ENTRY IN THIS EVENT, I INTEND TO BE LEGALLY BOUND FOR MYSELF. THEREFORE, MY HEIR EXECUTORS AND ADMINISTRATORS DO HEREBY RELEASE AND DISCHARGE STONE COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP AND THE PINE HILL FESTIVAL OFFICIALS AND ANY AND ALL SPONSORS FROM ANY AND ALL LIABILITY ARISING DUE TO ILLNESS,INJURY,DAMAGES AND DEATH THAT I MAY SUFFER AS A RESULT OF MY PARTICIPATION IN THESE EVENTS. I CERTIFY THAT I AM IN GOOD PHYSICAL CONDITION TO PARTICIPATEIN THE 5K, 10K, AND KID'S FUN RUN EVENTS.

By clicking Submit you hereby agree to the above release waiver.

419 S. Vardaman St., Wiggins, MS 39577
P. O. Box 569, Wiggins, MS 39577
601.928.5418 o 601.928.6469 f
Email: SCEDP