Registration form and informational flyer for the 2012 3rd Annual 5K Run Tribal Trot & Little Indian Run. Download the registration form and return it to the Jackson Board Office located at 614 E. Adams St. in Jackson, MO.

1. 3rd Annual
5K Run - Tribal Trot
& Little Indian Run
15
Saturday, September , 2012
• Saturday, September 15th
Register 7:30 a.m.
• Run / Walk Starts 8:00 a.m. at
the Jackson High School
• Entry Fee -
Adults $20 | Students $10
Make Checks payable to: Jackson R-2 School
District Foundation
• Dry-Wick Shirts guaranteed
to Pre-registered
• Breakfast following 5K
• Virtual Runner?
Do you have other plans on Sept. 15th? Would you prefer
sleeping in or doing something else rather than getting
up early to run or walk? You can do virtually anything
else you want and still support the Jackson R-2 School
Foundation!!! You can have the best of both worlds! This level
or participation accommodates your busy schedule. Virtual
Runner participants will receive a T-Shirt.
5K Run Age Groups Men & Women:
13-19, 20-29, 30-39, 40-49, 50-59, 60 & over
Fitness Walk:
OPEN to all, Non-Competitive
Little Indian Run:
Ages 7-12
3rd Annual 5K Run - Tribal Trot
Little Indian Run • Ages 7-12
Each Participant must complete a registration form
Name Date of Birth M/DD/YYYY
Male / Female
Address E-Mail
City/State Phone
Register by Sept. 1 to ensure T-Shirt $10 - Little Indian Run
Virtual
T-Shirt Size: Youth/Adult S M L XL XXL $20 - 5K Run 5K Walk Runner
Waiver: In consideration of foregoing, I myself, executors, administrators, and assigns, do hereby discharge Jackson R-2 Foundation and all
sponsors from any and all claims of damage, actions, and causes whatsoever, in any manner arising or growing out of my participation. 5K Run - 5K Tribal Trot
Little Indian Run
SIGNATURE__________________________DATE___________________ er 15, 2012
Saturday, Septemb
Please return to: Jackson R-2 Board Office, 614 E. Adams St. Jackson, MO 63755