Fill Your Heart...And Run for Kyla certified 5K run/walk 10K run 1mile fun

5K Run/5K Walk/10K Run (USATF Certified courses) &

1 mile fun run

We walk/run rain OR shine! No Refunds!

Race Organized by: Felder UMC & MS Track Club, LLC

PROCEEDS BENEFIT the Kyla Fleming Family

co-sponsored by the Rotary Club of McComb

When: SATURDAY APRIL 2, 2015 - 6:30 to 7:15 am (registration and packet/t-shirt pick-up)

7:30 AM 10k/5k about 9:00am 1 Mile fun run

Where: Felder UMC and Campmeeting 1061 Campground Circle Summit, MS 39666 Located 9mi east of Summit on Hwy 570 phone: 601-684-8797 or 601-249-4444 For questions contact Tara Hennington at tmir@cableone.net

5K Walk/Run AND 10K Awards: Overall male and female and top 3 in each age group will be awarded prizes: 19 and under, 20-29, 30-39, 40-49, 50-59, and 60, and top three teams(5K only) We are not responsible for trophies/packets not claimed on race day! IF YOU REG FOR 5K WALK but RUN ANY PART OF COURSE YOU WILL BE DISQUALIFIED

1 mile Awards: Overall male and female and top 3 male and female winners any age.

Registration fees: registration forms: www.mstrackclub.com or www.pikeinfo.com 10K $25 5k $20 1 mile $15 ALL STUDENTS $15 for any event ADD $5.00 FOR ON-SITE REG

Team fee:$75(up to 5 members)5K walk or 5K run only (Pre-registration only by March 28th) –scoring only top 3-fill out 1 form for each team member & list the team name on the form below & submit together

Early bird registration forms must be received by March 15, 2016. RACE PACKETS AND T-SHIRTS GUARANTEED ONLY TO 1st 200 PRE-REGISTERED PARTICIPANTS. Send entry forms and fees, and make checks payable to: Felder UMC, 1061 Campground Circle, Summit, MS 39666 ---------------------------------------------------------------------------------

Circle Event:

10K Run 5K Walk 5K Run 1 mile fun run

Circle Shirt Size: YouthM Small Medium Large X-Large XX-Large (add $2 to entry fee above)

Name: _________________________________ Age:_________Gender: _______ Address:__________________________________________

City:_____________________________ State:___________Zipcode:________________ Phone:_____________________

Email:_________________________________________ Team Name ________________________

RELEASE AND WAIVER

I, the undersigned. in consideration of acceptance of the entry and registration as participant in the Felder United Methodist Church hold harmless and waive any and all claims which I and my heirs or assigns may now or hereafter have against Felder United Methodist Church, its members, volunteers, sponsors, and all officials; and MS Race Timing LLC its members, volunteers, sponsors, and all officials which may

indirectly or directly result from my participation in this event I further warrant and represent that I am in proper physical condition to participate in this event and am not participating in this event against physician's advice nor am I taking medications which would impair my health or ability to

participate in this event. I further give permission for the use of my name and or photo in race publicity.

Participants Signature:_________________________________ Date:________________________

(guardian if participant is under 18)