Date/Event Time: Saturday, August 13, 2016

Course: The event will begin and end in front of the VSU Student Recreation Center on 1300 Sustella Ave., Valdosta GA.

Date/Event Time: Saturday, August 13, 2016

7:00-7:45 am REGISTRATION/NUMBER PICKUP

8:00 am 5K RUN/WALK

9:00 am 1 mile FUN RUN/WALK STARTS

Registration and Entry Fee:

5Kbefore August 1, 2016: $20.00 FUN RUN: $12.00

5K afterAugust 1 and Race Day: $25.00 FUN RUN: $15.00

Ghost Runner: $20 donation and only pre-registered participants will receive T-shirt.

Family Fun Pack: $50/family of four– early registration only (prior to Aug. 1, 2016)

Awards:Awards will be given to the overall male and female finisher in the 5K, as well as the top male and female finishers in each age category. All 1 mile fun run participants will receive anaward.

Age Categories:7 and under, 8-10, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+

Please make checks payable to: Valdosta City Schools Foundation.Registration can also be mailed to: Valdosta City Schools Foundation c/o Chryse Thomas –1204 Williams Street Valdosta, GA 31603

Timing and results provided by: Finish line services provided by A Course/ Line, LLC–complete results will be posted on runningintheusa.com along with other sites.

CONTACT INFORMATION: Call 229-671-6025 or email

CONTACT INFORMATION: Call 229- 316-1844 or

All proceeds will benefit Valdosta City Schools Foundation and Lowndes Education Improvement Foundation.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Official Entry Form: T-Shirts YS___ YM___ YL___ AS___ AM___ AL___ AXL___ 2XL___ Event ( please circle)

Name: ______Phone: ______5K 1 Mile Ghost Runner

Last First Area Code and Number

Address: ______

City: ______State: ______Zip: ______

Age (as of 8/13/16) ______Birth Date: ______Male____ Female____

Valdosta Wildcats____ School ______Lowndes Vikings_____ School______

Read and Sign the waiver: Unsigned applications will not be accepted. In consideration of my entry being accepted. I intend to legally bound and do hereby, for myself, my heirs, and executors, waive all rights and claims for damages which I may have or which may accrue against the Lowndes and Valdosta Foundations, the sponsors, or any subsidiary, its or their respective officers, agents, representatives, successors, assigns, and sponsors for any and all damages or injuries which may be sustained or suffered by me in connection with my association with or entry or participation in the Winnersville Race. If I should suffer injury or illness. I authorize the officials of the event to use their discretion to have me transported to a medical facility and I take full responsibility for this action. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I also understand the entry fee/donation is nonrefundable. I have read the above release and understand that I am entering this event at my own risk.

______

Signature of Participant Date Signature of parent or guardian