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You may submit this form to enter the contest,
but you will still need to sign a waiver prior to the actual run.
To receive the discount for early entry,
you may mail your check to:
JAM-FEST RUN
41112 Hwy 933
Prairieville, LA 70769

or bring it to the Chamber Office at:
1006 W. Hwy 30
Gonzales
(across from St. Elizabeth's Hospital)

Checks must be received on or before May 17, 2002.

35th ANNUAL
JAMBALAYA FESTIVAL
5K & 1 MILE RUN/WALK

When:Saturday, May 25, 2002 Mail To:JAM-FEST RUN
Where:Gonzales Civic Center - Irma Blvd. 41112 Hwy 933
Time:8:30 AM - 5K Prairieville, LA 70769
9:30 AM - 1 Mile Run/Walk Contact:deShea Waguespack
Registration/Sign In:7:30-8:00 For more info:622-1813 hm
291-2713 wk

ENTRY FORM
(Every participant will receive a FREE T-Shirt
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Age:
Sex (M/F):
Name of School:
Check Race Selection
5K$10 Thru May 17
$13 After May 17
1 Mile$10 Thru May 17
$13 After May 17
Check T-Shirt Size
ChildMed (10-12)
Lge (14-16)
AdultSmall
Medium
Large
X-Large
WAVIER

I understand that running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of the race officials relative to my ability to safely complete the run. I assume all risks associated with running this event including but not limited to falls, contact with any participants, the effect of the weather including high heat and humidity, 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 in consideration of my entry, I for myself and anyone entitled to act on my behalf, waive and release the Jambalaya Festival Association and U.S. Web Providers, Inc. and all other representatives and successors from all claims of liabilities of any kind arising out of my participation in this event. I grant to all foregoing to use any photographs, motion picture recordings, or any other record of this event for any legitimate purposes. I also agree that if I lose my race number and/or official count tab, I am automatically disqualified.

Please make checks payable to: Jambalaya Festival Association