5K Wellness Run/Walk &
Family Fun 1 Miler
Health & Fitness Center
Saturday; November 1st, 2008; Jennings, La
Time: Family fun 1 miler begins at 8:00am
5k walk/run begins @ 8:30am
Start: Health & Fitness Center: 2002 Johnson street, Jennings
Eligibility: The 5K and 1miler event is open runners, joggers, and walkers
Registration: By mail: Wellness Run, 2002 Johnson street Jennings, La 70546.
Pre-register by Oct. 24th, 2008 to guarantee your
Long Sleeve T-shirt on Race day. All others are to pick up shirt at
location announced at race. Out of town participants will have
shirts mailed to them if not picked up on race day.
Registration; From 7:30am to 8:00am day of race
Awards: Medals will be awarded to the top two male and female finishers.
Medals will also be awarded to the top two male and female
finishers in the following age divisions: 15 & under, 16-19, 20-29,
30-39, 40-49, 50-59, 60 and over. All participants will receive
souvenir T-shirt and goodies in bag.
Refreshments: Free Cold drinks and fresh fruit will be provided.
Entry Fee: $17.00 if postmarked by Oct. 24th - $20 up until day of race.
Race Director: Kimberly Vincent (337) 616-0630 or (337) 250-1852
Mail Check or Money Order to:
Wellness Run, 2002 Johnson street, Jennings, La 70546 __ check if only wanting shirt, not doing race
____$17 postmarked by Oct. 24, 2008 _____$20 up until Race Day
T-shirt Size: Child: _____(2-4)_____(6-8)_____(10-12)
Adult: ______Small ______Medium ______ Large _____X-Large ____XX- Large
Last Name First Name Sex Race Day Age Birth date
Mailing Address Area Code & Phone #
City State Zip Code
In consideration of my entry being accepted in the Wellness Run I waive any and all claims for myself, my heirs, and
assigns against all race sponsors. All sponsors of this race, and any subsidiary or political subdivision thereof, its or
their representative, successors, and assigns for injury or loss which may directly or indirectly result from my
participation in this event. I further state that I am in the proper physical condition and have trained for competition for
this event. I also give permission for the free use of my name and or picture in any broadcast, telecast or print media
account of this event.
(Signature of parent/guardian if entrant is under 18)