Registration Form
Registration Form
Registration Form
The Splash N' Dash will begin and end at the Crossroads Baptist School Campus, located at 3001 Country Club Dr, Valdosta, GA, and will wind through adjacent neighborhoods. Come prepared to be splashed with color as you run the most fun 5K EVER!!!! Registration Table will open at 7:00 am. 5K will begin at 8:00 am and 1 Mile Fun Run will begin at 9:00 am. Registration & Entry Fees Early Registration until March 15, 2014 5K: $25 / after March 15: $30 1 Mile Fun Run: $15 / after March 15: $20 Ghost Runner: $15 Family Discount: $25 off for families of 5 or more Awards 5K: Overall M & F / Top M & F in each age group 1 Mile: Overall M & F Under Age 11 T-Shirts If registered before March 15 for the Splash N' Dash 5K/ 1 Mile Fun Run, you are guaranteed a race t-shirt. T-shirts will be distributed until supplies run out for those that register after March 15. Pre-ordered Ghost Runner shirts can be picked up at Packet Pick-Up on March 28 from 12pm-6pm or on race day at the t-shirt table. Packet Pick-Up Race day packets will be available for pick-up on Friday, March 28 at Crossroads Baptist School from 12pm-6pm.
Make checks payable to Crossroads Baptist School PTO and mail with entry form to: Crossroads Baptist School c/o Splash N' Dash 5K 3001 Country Club Dr Valdosta, GA 31602
OFFICIAL ENTRY FORM: CROSSROADS BAPTIST SCHOOL SPLASH N' DASH 5K/1 MILE FUN RUN
EVENT: _____Splash N' Dash 5K _____1 Mile Fun Run _____ Ghost Runner _____Family Discount _____# of Family Members
OFFICIAL USE ONLY
NAME: _______________________________________
PHONE #: ___________________________________
TSHIRT SIZE: _____YS _____YM _____YL _____AS _____AM _____AL _____AXL _____AXXL
INCOMPLETE OR UNSIGNED ENTRY FORMS WILL NOT BE ACCEPTED: In consideration of my entry being accepted, I intend to be 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 hereafter accrue to me against Crossroads Baptist School, Crossroads Baptist Church, sponsors or any subsidiary or political subdivision thereof, its or their respective officers, agents, representatives, successors, assigns and sponsors for any and all damages or injuries or injuries which may be sustained and suffered by me in connection with my association in this event. If I should suffer injury or illness, I authorize the officials of the race 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 HAVE READ THE ABOVE RELEASE AND UNDERSTAND THAT I AM ENTERING THIS EVENT AT MY OWN RISK. Signature: __________________________________________________________________________