Jingle Bell B Run Satuurday, Deceember 17, 20 016 (Each entrannt must fill out this section, parents mu ust complete an entry form forr youth under 18) Last Name:: _______________ _______________ ____ First Name: ______________ ________________ ____ Phone:____________Emergenccy Contact:______ _____ Adress:___________________ ________________ _____ Louisiana L Pu urchase Coun ncil, BSA The Louisiana Purrchase Council serv ves 20 parishes in Northeast and Central Lou uisiana. Parishes include: Allen, A Avoyelles, Caldwell, C Catahoula, Concorrdia, East Carroll, Franklin, F Grant, Jackson, LaaSalle, Lincoln, Maadison, Morehouse, Ouach hita, Rapides, Richlland, Tensas, Union, Weest Carroll, and Wiinn. City:____________State:_____ ____Zip:________ _____ Age on dayy of event:________ ___ __ Male ___ Female (Tech tshirtts guaranteed if signed up by 12/1/16)) Adult: ____S _____M ____L ____XL L ____XXL (Add $3.00) $ Race Entereed: ____13.1 H Half Marathon ____ _5k Run/Walk Entry Fees: $45.00 13.11 Half Marathon through March 26th $55.00 13.11 Half Marathon 3//27 - 5/30/16 $65.00 13.11 Half Marathon 5//31 - 7/4/16 $75.00 13.11 Half Marathon 7//5 - 11/25/16 $85.00 13.11 Half Marathon 11 1/26 - 12/15 $95.00 13.11 Half Marathon 12 2/16 - Race Day $20.00 5k thhrough March 26th h $25.00 5k uup to 11/30/16 $30.00 5k 112/1 - 12/15/16 $35.00 5k 112/16 - Race Day Waiver: Wee the undersigned agree a to release, indemnify aand hold harmless Louisiana L Purchasee Council, BS SA, City of Monroee, River Market and d Apex Endurrance, their officerss, directors, employ yees, agents and aanyone working wiith them, for any damages, injjuries or other neglligence of myself, others o or parties naamed herein, or oth herwise, to the fulleest extent allow wed by law. We furrther give our perm mission for our quotes, pictures or videeos bearing our likeeness to be used foor any and all legall purposes. Signature____________________ ________________ ____ Email Address: _____________ ________________ _____ Monnroe, Loouisianaa Jingle B Bell Run Half Marathon & 5K Missiion Statemen nt Thee Louisiana Purchaase Council's missio on is to "seerve others by helpiing to instill valuess in young peo ople and in other ways, w to prepare them m to maake ethical choices during their lifetim me in ach hieving their full po otential and providee the best quaality program that we w possible can forr the youth in our o area.” Proceed ds from the race r Will W benefit the 5,00 00 youth in Northeeast & Central C Louisiana th hrough our At-Risk k Program, Scholarships S to Cam mp T.L. James & Camp C Attakapas, A direct an nd indirect support!! Make Check C Payablee to: Louisiana a Purchase Co ouncil 240 05 Oliver Rd Mon nroe, La 71201 1 Regisster on line att: www.apexendurance.com www.louisian napurchasecou uncil.org Saturdday, Decem mber 17, 2016 m. Hallf Marathoon 8:00 a.m m. 5K K Walk/Runn 8:30 a.m Jingle Belll Run Saturrday, Decem mber 17, 201 16 M Monroe Riveer Market 13.1 Haalf Marathon & 5k Walk/R Run Entry Fee: $45.00 133.1 Half Marathon through 3/26/16 6 $55.00 133.1 Half Marathon n 3/27 - 5/30/16 $65.00 133.1 Half Marathon n 5/31 - 7/4/16 $75.00 133.1 Half Marathon n 7/5 - 11/25/16 $85.00 133.1 Half Marathon n 11/26 - 12/15 $95.00 133.1 Half Marathon 12/16 - Race Day $20.00 5kk through March 26th $25.00 5kk up to 11/30/16 $30.00 5kk 12/1 - 12/15 $35.00 5kk 12/16 - Race Daay *Dry Fitt shirts guaran nteed for 13.1 & 5k if signed up on or before 12/1/16. NO GUA ARANTEE on shirts if signed d up afterr 12/1/16. 13.1 Lon ng Sleeve Dry Fit F T-shirt 5k Short Sleeve Dry Fiit T-shirt Awards: All participants will reeceive participation medal. Male M & Femalee 1st, 2nd,, & 3rd place age a groups in 5-year inccrements. 10 & Under, 11 - 14 4, 15 - 19… … up to 70 & ov ver. Jing gle Bell Run n Information Th he 13.1 Half Maarathon will beg gin at the Riiver Market on the t beautiful Ou uachita Riiver. It will wind d its way throug gh historical Do owntown Monro oe on its way th hrough the Gaarden District paassing many hisstorical sittes such as Laytton Castle, Coolley Ho ouse, Masur Mu useum of Art, an nd The Biiedeharn Museu um and Gardens along thee amazing routee. Th he 5k will begin at the River Maarket on thee beautiful Ouacchita River, thiss course wiill take you thro ough the historiccal Do owntown Monro oe. Reegistration, Earlly Packet Pickup p, Packet Pickup, will be in nside the Historical Au ustin’s By The River. R Walkers W are welco omed on the 13.1 Half Marathon M & 5k. However, H securrity will on nly be provided up until 11:30 a.m. a For more Information: www.louisian w napurchasecou uncil.org www.apeexendurance.ccom Stan Cham mblee @ 318--372-5849 Greg Coviington @ 318-325-4634 @ 318 8-470-6716 Friday Schedulee Early Packet Picck up: Monroe Chhamber of Commercce 4 - 7:30 P.M M. 212 Walnutt Street Monroe, LA A, 71201 Race Day Scheddule: 6:30 - 77:45 a.m. - Packet Pick up 6:30 - 77:45 a.m. - Race D Day Registration 8:00 a.m. - 13.1 Half Marrathon 8:30 a.m. - 5k Walk/Run 11:30 aa.m. - Awards Cereemony
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