The Inaugural Blackburn Motor Company

South Park B u l l d o g C h a l l e n g e Healthy Kids - 1 Mile Cross Country Fun Run What: One Mile Fun Run for Elementary Kids When: Saturday, October 27, 2012 Where: The course winds around and through the grounds of South Park Elementary School in Vicksburg, Mississippi. All races will begin and end at the front of South Park Elementary School. From I-20, take the Halls Ferry Exit (1C) south past Waterways, then left on Nailor Road. Look for parking signs.

JOIN THE CHALLENGE! Compete on your own and support your school! $15- Early Registration OR $20- After October 19

Return this form with payment to: South Park Bulldog Challenge, South Park ES, 6530 Nailor Rd, Vicksburg, MS 39180

Name: Birthdate:

Grade 2012/ 2013 School Year:

School Running For:

Phone:

Address:

E-mail: Shirt Size (Circle one): YS YM YL AS AM AL AXL AXXL Gender (Circle one): Male Female (Circle one): Teacher Staff Student Additional Shirts: $10 each (quantity) ___YS ___YM ___YL ___AS ___AL ___AXL ___AXXL I hereby certify that I am adequately fit to participate in this race. In consideration of the acceptance of this entry, I, the undersigned, for myself, my personal representative, beneficiaries, and heirs, knowingly defend, indemnify and hold harmless the South Park Elementary PTO, the VWSD, the Mississippi Track Club, property owners and/or any other sponsors, organizers and volunteers and assigns of any and all rights and claims which I have or may hereafter accrue to me or my estate for any and all injures or death suffered by me in this event. I will also allow my picture and name to be used in publication as a result of this race.

Must be 18 or older to sign: Parent/ Guardian/Participant Signature: ___________________________________________ Print Name: _______________________________________________ Date: ___________________

Registration is final – We will run – Rain or Shine! No Refunds.

Bring this coupon to the

Southern Heritage Airshow at Vicksburg-Tallulah Airport and

receive free admission to the show for kids 13 and under when accompanied by an adult. Show starts at noon. For More information call 601-695-1150.

Registration: $15- early registration, $20- after October 19. Group Discount- 10 for $125, must be submitted together. Race Amenities: T-shirts will be guaranteed to pre-registered participants. T-shirts for late registration will be on a first come first served basis. Stick around after the race for the South Park Elementary School Fall Festival! Parents may preregister for shirts and are welcome to participate in the run. NEW Race Day Schedule: Race Day Registration begins at 7:00 a.m. Races will start in waves, by grade, boys and girls together, beginning at 8:00am. Parents may run with their children, but only kids can WIN, and only teachers and students count toward the School Participation Prize! 8:00- All Faculty, 5th and 6th grades 8:20- 3rd and 4th grades

8:40- 1st and 2nd grades 9:10- K and Pre-K Benefits: South Park Elementary School Playground Fund

Awards:

The Warren County school with the most registered participants crossing the finish line (students/teachers/staff) wins the RIVER REGION HEALTHY SCHOOLS TROPHY AND $500 to go towards physical education equipment at their school!

Overall Male and Female will receive a free pair of shoes; Provided by Stinky Feet.

Grade Group Medals for boys and girls, Pre-K, Kindergarten, 1st, 2nd, 3rd, 4th, 5th, 6th

Awards for the Fastest Faculty provided by Martins at Midtown. Registration: Pre-register by mail, postmarked no later than Friday, October 19, 2012. Race day registration begins at 7:00 a.m. and concludes at 8:00 a.m. Race packets can be picked up on-site race day or from 4:00 to 6:00pm Friday, October 26 at the South Park Cafeteria.

Thank you to all our GREAT sponsors!

Sol Azteca

Shape Up Sisters DIMCO Amphibious Surveying Sports Center Martins at Midtown