2nd Annual Rattlesnake Run
10-K, 5-K and 1-Mile Run/Walk
Saturday, March 12th, 2016
Sponsored by the Leadership Evans Alumni Association
(and held in conjunction with the 49th Annual Claxton Rattlesnake & Wildlife Festival)
Run Headquarters – VeteransCommunity Center,818 West Main Street, Claxton, GA
On-site Registration and Packet pick-up, Fri March 11th, from 3:30 p.m. until 5:30 p.m. and
Sat March 12th, from 7:30 a.m. until 8:00 a.m.
Run begins at 8:15 a.m. (All Routes)
All routes begin and end at the VeteransCommunity Center
Registration Form (Please print legibly)
Name ______
Address ______
City______State ______Zip ______
Email ______
Age on Race Day ______Date of Birth ______
Phone # ______
Emergency Contact Name/Relationship ______
Emergency Contact # ______
Gender: M F T-Shirt Size: YS YM YL S M L XL XXL XXXL
WAIVER: I, the undersigned applicant, for and in consideration of the benefits derived by participation in the 2015 Rattlesnake Run do hereby release and forever discharge the Leadership Evans Alumni Association, it’s agents, volunteers, sponsors, and representatives from and against any and all liability and responsibility for any injury, illness or sickness which may result from participation in the 2015 Rattlesnake Run, and do hereby further agree to indemnify and hold harmless the Leadership Evans Alumni Association, its agents, volunteers, sponsors, and representatives from any and all liability in such regard. I understand that my name and picture may be used for promotional purposes without any remuneration to me.
Signature ______Date ______
Signature (Parent/Guardian if participant is under 18 yrs of age) ______
Registration Fee:
Individual Early Bird - $25 until February 29, 2016
Group Registrations (for groups of 10 or more) - $20 per team member until February 29
(Group Registration Discount not offered after February 29)
March 1thru Race Day - $35(on-site registration will be accepted; however, we cannot guarantee event t-shirt)
For more information contact Patti P. Rogers, (912) 618-1775 or email,
Please return completed “Rattlesnake Run” Registration Form and payment to:
Leadership Evans Alumni Association
c/o Claxton-EvansCounty Chamber of Commerce
4 North Duval Street
Claxton, GA 30417