Jaguar Jingle Jog
8th annual
Jingle Jog
Saturday, December 10, 2016
Event Registration 8AM Race Assembly & Stretch 8:45AM
* Rain or Shine*
Mableton PTA is excited to present the 8th Annual
Jaguar Jingle Jog! The 1.5-mile course begins in the
@@9:45am
Bus parking lot at Mableton Elementary School and continues through our Mableton neighborhoods
ending back at Mableton Elementary. Sign up now using form or on our website.
PROCEEDS:
All proceeds from this event help support educational and enrichment programs at Mableton Elementary School.
RACE FOR FREE:
Get friends and family to sign up as Phantom Walkers on your behalf to get your registration fee waived! For every
2 Phantom Walkers who list your student as a pledgee, that student receives a complimentary event registration + t-shirt.
PREREGISTRATION: Please return to homeroom teacher or mail by November 22nd to guarantee shirt by race day.
$5 Participant Only Registration Fee
EVENT DAY REGISTRATION:
$7/$20
$12 Participant + Jingle Jog T-shirt
$7 T-shirt Only
Event day registration is from 8:00-8:45am
T-shirts will be ordered for event day participants and will be delivered through backpacks at a later date.
PHANTOM WALKER : Support our cause with a $10 donation. Proceeds can be applied to a specific student or as a general contribution.
------------------------------------------------------------------------------------------ENTRY FORM-- Please fill out entry portion and submit with payment to PTA mailbox in main lobby. Make all checks payable
to Mableton Elementary PTA. Mark shirt sizes below.
Shirt sizes available Adult:
AS AM AL AXL
A2XL A3XL (Add $2.25 for sizes above XL)
Youth:
XS
S
M
L
Student Name __________________________________________ Classroom _____________ Shirt size_______
Student Name __________________________________________ Classroom _____________ Shirt size_______
Student Name __________________________________________ Classroom _____________ Shirt size_______
Adult Participating with Student __________________________________________________ Shirt size_______
Adult Participating with Student __________________________________________________ Shirt size_______
Address ________________________________________ City _________________State_____ Zip __________
Phone Number ____________________________ Email _______________________________________________
_____# Participant Only x $5
_____# Phantom Amount __________
_____# Participant Registration + T-shirt
Phantom Name: ________________________
_____# Organization Participant - Name of Organization _____________________________________________
Total enclosed: $________ Check # ______or Cash______
Waiver and Release
Release form: I know that this event is a potentially hazardous activity. I should not enter unless I am medically able and in proper physical condition. I agree to
abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with my participation in the 2016 Jaguar
Jingle Jog including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the
conditions of the road and trail, all such risks being known and appreciated by me. I understand and will abide by the rule that no pets are permitted at the
event. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf,
waive and release the sponsors and officials of the above mentioned event (to include Cobb County Public Schools, Mableton Elementary School, and the
Mableton PTA, and all sponsors, their representatives and successors) from all claims or liabilities of any kind arising out of my participation in this event. I
grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I
understand that all entries are final with no refunds. The official race director reserves the right in any event of emergency or local or national disaster to
cancel the race or to change the day and/or time to a later day and that in the event of cancellation or change here is no refund of entry fees. Strollers are
welcome. NO Pets. All students MUST be accompanied by an adult.
_________________________________________
Signature of Parent/Guardian
Date
Online: MabletonPTA.com Email: [email protected] Phone: 770.819.2513 Address: 5220 Church Street, Mableton GA 30126