5K Fairfield Cross Country Course

(Behind Softball field)

August 24th, 2013 8:30 a.m.

ALL PROCEEDS BENEFIT FAIRFIELD CROSS COUNTRY TEAMS *Must be completed to participate in the fun run. Pre-registered Entries Must Be Received By Aug 16th. You may register the day of but you will not receive a t-shirt * Name _________________________________________ *Email _________________________________________ *Address ___________________________________________ *City _____________________ *State ________ *Zip _________ *Sex: Male _______ Female ______ *Age:_______ 5K___ Shirt Size Adult S _____ M ______ L ______ XL _____ XXL _____ Youth S _____Y M ______YL_____ Pre-registered Entry-$15.00 Race Day Entry-$20.00

$50 CASH PRIZE For OVERALL MALE AND FEMALE WINNERS Awards for 1st-3rd in each 5 year age group

Send or drop off entries at: Fairfield HS Girls Athletics 615 Post Oak Fairfield, Tx 75840 Make checks payable to: Fairfield HS Girls Athletics Amount included: __________________ Waiver Statement:

I assume full and complete responsibility for any injury or accident which may occur to me during the race, or while I am on these premises of the event, and herby release and hold harmless FISD and sponsors, promoters, and all other persons and entities associated with this event of their agents or employees or otherwise further certify that I am in good physical condition and fully able to participate in this event. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purpose. I understand that fees are not refundable. The race will be held regardless of weather conditions. Registration is final, no refunds.

___________________________________________ Signature/Parent/Guardian (required if under 18) Entry invalid if not signed