2008 MULE DAY KICK
 "The Long Ear Gallop"
Saturday, April 5, 2008
Registration Form

COST
Preregistration (postmark by March 29 or personal delivery to Columbia YMCA thru April 3, 8:00 PM.)
  5K $20
  1 Mile Family Trot $12
  Maury County Students ages 0-12*   $5
Race Day
  5K $25
  1 Mile Family Trot $12
  Maury County Students ages 0-12*   $5

Each paid participant receives an official race T-shirt.
*Students must agree to train a minimum of 3 times per week for 3 weeks

CHECK ONE EVENT
5K __________ 5K Baby Jogger Division ________ 1 Mile Family Trot  ________
The Baby Jogger division is one group for awards/results without regard to sex or age.

PARTICIPANTS INFORMATION

Name _________________________________________ Gender _________
 
Address _______________________________________
 		  
City, State, Zip __________________________________
 		  
Mail to:
YMCA - Mule Day Kick
1446 Oak Springs Dr.
Columbia, TN  38401
Phone (______) _________________________________
 
Age on Race Day ________________________________
 
Date of Birth ____________________________________
 		  
Shirt Size _____________ (S, M, L, XL, 2XL)
 		  
Entry Fee Enclosed $______________________________
     (make check payable to YMCA - Mule Day Kick)		  

PARTICIPANT'S RELEASE
In consideration of your acceptance of my entry into this race, I, for myself, my executors, administrators, and assigns, do hereby release and discharge YMCA of Maury County, City of Columbia Parks and Recreation Department, race organizers, volunteers, Nashville Striders, and all sponsoring businesses and organizations for all claims of damages, demands, actions, and causes of actions whatsoever, in any manner arising or growing our of my participation in this event.  I also hereby consent to allow emergency treatment in the event of injury or illness.  I hereby authorize the Mule Day Kick organizers to reproduce any photographs, video  and audio taken during race activities for advertising and publicity purposes.  Signature of participant or Guardian if under age 18.

_______________________________________________ ____________
Participant/Guardian Date