Hattiesburg Oral Surgery
PRESENT THE
PCS 5K and
1-Mile Family Fun Run/Walk
Saturday, August 27, 2016
Presbyterian Christian School—Bobcat Stadium
5K begins at 8:00 a.m.
1-MILE FAMILY FUN RUN/WALK begins at 9:00 a.m.
Race day registration opens at 6:45 a.m.
Registration form: Pre-register by mailing attached registration form with fee to PCS
or by returning registration form and fee to the PCS office by Friday, August 19.
Please make check payable to PCS and designate for the PCS Run/Walk.
REGISTRATION FEES
5K
$20 per participant pre-registered ($25 day of race)
1-Mile Fun Run/Walk $15 per participant pre-registered ($20 day of race)
FAMILY PLAN
$50 per family pre-registered ($75 day of race)
“Sleep-in option”
$15 (if you want the t-shirt but can’t wake up for the race!)
o Pre-registered participants receive a 2016 PCS Run/Walk t-shirt
o Awards presentation following the 1-Mile Fun Run/Walk at Bobcat Stadium
Race start/finish@PCS Bobcat Stadium • 221 Bonhomie Road • Hattiesburg
For more information, call 601-599-0444 or e-mail [email protected].
PCS 5K and 1-MILE FAMILY FUN RUN/WALK
Saturday, August 27, 2016
Presbyterian Christian School—Bobcat Stadium
PRE-REGISTRATION FORM
5K ($20) _____
Please complete and mail along with check payable to PCS—
PCS Run/Walk, 103 WSF Tatum Drive, Hattiesburg, MS 39401
or return with fees to PCS school office by Friday, August 19.
1-Mile Fun Run/Walk ($15) _____ Family Plan ($50) _____
“Sleep-in" option ($15) _____
PARTICIPANT NAME(S)
# of participants in family_____
Age
Sex T-Shirt size*
(1)____________________________________________ ____ ____ _________
(2)____________________________________________ ____ ____ _________
(3)____________________________________________ ____ ____ _________
(4)____________________________________________ ____ ____ _________
(5)____________________________________________ ____ ____ _________
Address____________________________________________________________
City/State/Zip________________________________________________________
*“Comfort Colors” t-shirt sizes available: (ADULT) Small/Medium/Large/XL (YOUTH) Small/Medium/Large
Waiver:
In consideration of this entry acceptance, I/we, the undersigned, as participant(s) in the PCS Run/Walk,
waive any and all rights and claims for myself, heirs, executors, and administrators of damages that I might
have against Presbyterian Christian School, its members and volunteers, sponsors, and any officials who
may be directly or indirectly connected with this race in case of injuries, loss, or death sustained by my
participation. I further state that I am in proper physical condition to participate and compete in the PCS
Run/Walk and that I am not participating against a physician’s advice, nor am I taking medications that
would deter my health in the participation of the race.
Participant signature(s):____________________________________________________
Signature of parent if participant(s) under age 18:__________________________________
PRESBYTERIAN CHRISTIAN SCHOOL
103 WSF Tatum Drive  Hattiesburg, MS 39401  601-599-0444  www.pcsk12.org