Marianna/Lee County Chamber of Commerce

PAWS ON THE PAVEMENT 5K RUN

 

 

Paws on the Pavement
5K Walk or Run

Autumn on the Square
Saturday, September 27th at 9:00 am
Benefiting the Marianna Dog Pound

Name:___________________________________

Age: ____________ Gender (circle):   M   F

Phone:____________________

Email:________________________________(For registration confirmation)

Registration deadline is September 16th.  Fees go up after the 16th. 
 Adult registered by deadline - $25
 Adult registered after deadline- $30
 Youth 18 years and under registered by deadline- $15
 Youth 18 years and under registered after deadline- $20

Payment:  CASH  CHECK
(Make checks payable to: Autumn on the Square)

Registration can be made the following locations:

  • Marianna Library
  • UAMS East Fitness Center in Helena
  • Lee Academy Office
  • Mailed to Ashley Harden (3 Shea Hill Drive, Marianna, AR 72360)

Shirt Size: 
Youth           S        M       L
Adult            S        M       L        XL      XXL

 

Packet pick up and race day registration 8:00am - 8:45am on the square across from the Lee County Courthouse.

For information, please contact Ashley Harden at 870-572-2727, ext. 130.
WAIVER MUST BE READ AND SIGNED WITH ENTRY.
WAIVER & RELEASE: READ THIS! I know that running/walking a road race is a potentially hazardous activity. I should not enter and run/walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to complete the run/walk. I assume all risks associated with participating in this event including, but not limited to falls, contact with other participants, the effects of weather, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and inconsideration of acceptance of my entry, I for myself and anyone entitled to act on my behalf, waive and release the Autumn of the Square committee, Community Foundation of Marianna, Marianna Dog Pound, Paws on the Pavement committee, the City of Marianna, and any and all persons, sponsors, and entities, their representatives and successors from all claims of liabilities of any kind arising out of my participation even though said liability may arise out of negligence or carelessness on the part of the persons named in the waiver. I grant permission for all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. Parents must sign if participant is under 18 years of age. This is to certify that my child has permission to compete in this event, is in good physical condition, and that event officials may authorize necessary emergency treatment.  ENTRY FEES ARE NON-REFUNDABLE.

Participant Signature (Parent or Legal Guardian if under 18)

____________________________________

 

Please bring completed application, with waiver and payment to the Marianna Library, LEAH in Forrest City, and UAMS East Fitness Center.
Or mail to:
Ashley Harden
3 Shea Hill Drive
Marianna, AR 72360

Please check email for registration confirmation.  If you don’t receive a confirmation, please contact Ashley Harden at 870-572-2727, ext. 130.