Catholic Campus Ministry
20th Annual Jack Frost 5K Run / 2.5K Walk 
          

  To Register - Use the form below

Date:      Saturday, December 6, 2008
Time:      Registration at 8:00 a.m.    Race at 9:00 a.m.
Place:      O'Reilly Catholic Student Center,    847 South Holland Ave.    (Across from Strong Hall)
Fee:      $12   (if received by December 5th)    $15   (day of race)
Awards:      Given to 1st, 2nd and 3rd place  finishers in each age group;     male and female; 

Age Groups:     

 Under 15,  15-19,  20-29,  30-39,  40-49,  50-59, 60+    
T-shirts          to the first 150 participants.

For more information call  (417) 865-0802,  or  e-mail Jack Frost Run coordinator, Bev Franklin, at    BevFranklin@ccm847.org   

                                                                                        Register on-line using the form below.
    

Please Complete the Entry Form below completely and press the "Submit" button at the bottom of the form.  
Use the Tab key to move to the next field.  (Don't hit the <Enter> key, as it will immediately submit the form.)

JACK FROST ENTRY FORM

Name          Age 

Street Address 

City, State, Zip 

Telephone     Sex:  Male    Female 

Your e-mail address    Indicate:         5K Run          Walk      

College      Greek:  Sorority or Fraternity 

Release of Liability

        I assume full responsibility for running in traffic on the course during this event, as well as any and all risks associated with competing in this event, including falls, body contact, road conditions and weather.

        In consideration of these facts, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue and waive, release, and discharge the Catholic Campus Ministry, Missouri State University and any or all sponsors and their agents from any and all claims for death or personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participation in this event.

    I accept          I do not accept       

If walker/runner is under 18, parent must enter an e-mail address: 

Date:

Make Checks payable to  Catholic Campus Ministry, 
($12.00, if received before December 5th;   $15.00, if paid on the day of the race, regardless of date of registration.)
   
        (Please indicate on your check:  "e-mail registration")

and mail to  
                        Catholic Campus Ministry 
                        847 South Holland Avenue  
                        Springfield, MO  65806-3513.