The Spirit of Prattville 5k Registeration Form
July 6, 2012By Irene Swisher of Prattville High School Cheerleading
November 3, 2012
Race Start Times
RACE STARTING POINT: MEET AT THE MAIN ENTRANCE IN THE PHS PARKING LOT!
Registration Fees - 5K Race & 1 Mile Fun Run/Walk
Race Day Registration for Prattville students (Beginning @ 7:00a.m.) – November 3rd - $20
I’m sleeping in, but I still want the T-shirt and to help support the PHS Cheerleaders!
Orders received by 10/26 will be $20 after 10/26 it will be $25
REFRESHMENTS, DOOR PRIZES, AND AWARDS CEREMONY IN THE MANE AFTER THE RACE!!!
Name: ________________________________ Email Address: ___________________________
Homeroom Teacher (Prattville Students Only): __________________________________
Address: ______________________________ Sex: ____ Age on race day: ___________
______________________________ Select Race (Circle): 5K Run/Walk,
Phone: ______________________________ 1 Mile Fun Run/Walk, Both-5K & 1Mile Run Mail Form & Entry Fee to: or No thanks, just the t-shirt!
The Spirit of Prattville 5K/Swisher *5K Awards:
PO Box 680754 1ST Place Male/Female in each division
Prattville, AL 36068 Overall Winner-Male/Female
Make Checks Payable to: Master Level-Male/Female
Megaphone Booster Club *1 Mile Fun Run
Certificates awarded to all first place winners in all age categories
T-Shirt Size (Circle): Youth: L Adult: S M L XL 2XL (add $3 for 2XL)
WAIVER: I know that running in a road race is a potentially hazardous activity. I am in proper physical condition to compete in this run and assume all risks associated with my participation including, but not limited to falls, contact with other participants, the effect of the weather including cold, traffic, and conditions of the road, all such risks being known and appreciated by me. I will not wear any head bands or devices that restrict my hearing or other perceptions. In consideration of this entry, I for myself and anyone entitled to act on my behalf, waive and release all race officials, Prattville High School employees/cheer team, and any and all other sponsors, groups, or individuals associated with this event of any and all liability. Furthermore, I grant the agents of this event permission to use photographs, videotapes, motion pictures, recordings, or any other record of me in this event for any legitimate purpose.
SIGNATURE OF PARENT/GUARDIAN IF UNDER 18:____________________________DATE:________
TO REGISTER ONLINE: www.active.com
For more info/reg. forms contact Irene Swisher, Megaphone Booster Club VP
For complete information, visit www.ihigh.com/prattvillecheerleading