Wild Chicken Run
5K Race through Fitzgerald, GA
Saturday, March 15, 2008

Time:                       Start at 8:00 am
Place:                      Start/Finish – corner of
                               Main Street & Magnolia Street
Sponsored By:         Fitzgerald Kiwanis Club
                               to raise money for projects
                               that serve the youth &
                               children
Entry Fee:                $15.00 before March 13th and
                               $17.00 afterwards. Make
                               Checks payable to:
                               Fitzgerald Kiwanis
Awards & Prizes:      T-shirts to all participants
                               Trophies 3 deep in each age
                               group. Male: 14 & under,
                               15-19, 20–29, 30–34, 35-39,
                               40-49, 50-59, 60 & over.
                               Female: 14 & under, 15-19,
                               20-29, 30-39, 40-49,
                               50 & over

For more information, contact: Christine Hayes, Wild Chicken Run
125 Ten Mile Road. Fitzgerald, GA 31750; 229-425-7530

Send entry fee and application to Steve O’Neal, 127 Ten Mile Road.
Fitzgerald, GA 31750

Name:___________________________________________________________
Address:_________________________________________________________
City:______________________ State:________________ Zip:______________
Phone:_____________________ Age:_____ Sex:_______ Shirt Size:_________

In consideration of the acceptance of this entry for the Wild Chicken Run, I waive all claims for myself, my heirs and assignees against, and
hereby release the Fitzgerald Kiwanis Club, sponsors and promoters and any other person(s) assisting, voluntarily or otherwise putting on the
event, from any liability to me or them, incl. any injury or illness which may result from my participation. I further state that I am in proper
physical condition to compete in the Wild Chicken Run.

______________________________________________________________________________________
Sign (signature of parent or guardian if under 18)