DATE: MARCH 15, 2008 TIME: 9:00 AM

DISTANCE: 5K & One Mile Fun Run

LOCATION: Lake Lowndes State Park

ENTRY FEE: $15 before day of race

$20 day of race

AWARDS: An Overall Male and Female trophy. First, Second and Third place in Men’s ages: 13 & under, 14-19, 20-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+ Female ages: 13 & under, 14-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

REGISTRATION FORM

I, by signing this form, do hereby release Lake Lowndes State Park from all claims,

damages, and actions, whatsoever, arising from my participation in said event. I attest that I am physically fit and sufficiently trained for competition in this event.

NAME:…………………………………………… AGE: ……. SEX: ……

ADDRESS: ………………………………. CITY: ……………………… STATE: ……

ZIP: …………… PHONE: ……………………. E-MAIL: …………………….

SHIRT SIZES: S M L XL

LAKE LOWNDES STATE PARK

3319 LAKE LOWNDES RD

COLUMBUS MS 39702

662-328-2110