St. Mary's
Assumption School

Cottonport, LA

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SMS 1st Annual 5K Run
Saturday, February 15, 2020

UPDATE: AS OF NOON ON FRIDAY, FEBRUARY 14TH, ONLINE REGISTRATION WILL BE CLOSED. YOU MAY DOWNLOAD A COPY OF THE REGISTRATION FORM AND HAND DELIVER PRIOR TO THE RACE ON FEB. 15. THANKS!

Start Time: 9 am (Registration begins at 8 am)
Address: CYO, next to St. Mary’s Church (820 Front Street, Cottonport)
Registration Fee: $25 until January 27^thth includes t shirt. After January 27^th, race day t-shirts will not be not ordered, fee is still $25. No refunds.
Awards: 1st/2nd/3rd in each division
Rules: 5K Run - shall be completed by running or walking the entire route. Any deviation from the route will result in disqualification.
Entry Form: Complete the digital form below OR print and mail a copy of the form to
Adriene Robeau, 850 Front St., Cottonport, LA 71327 or bring to St. Mary’s Assumption School (Forms must be turned in by January 27^th to ensure a T-shirt). For more information email adriene@stmaryscottonport.com. Make checks payable to SMS.

NOTE: There is an option to use PayPal if you submit a digital form below. Click below to send your registration fee of $25 using PayPal.

Print and Mail Document: Registration Form
SMS 5K Run Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Race Day Age REQUIRED Please fill out this field. Please enter valid data.
- Division (Select one) REQUIRED Please fill out this field.
- Shirt Size
- Email REQUIRED Please fill out this field. Please enter an email address.
- Waiver: I agree to abide by the rules of this competition as stated above, and understand that decisions of the event officials are final. I know that running/walking a race is a potentially hazardous activity. I should not enter a race unless I am medically able and properly trained. I assume all the risks associated with running/walking in this event including, but not limited to falls, contact with other participants, the effect of weather, traffic and 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 accepting my entry,I, for myself and anyone that I am entitled to act of behalf of, waive and release St. Mary’s Assumption School, all race officials and directors, associated sponsors, the town of Cottonport, their representatives and successors from all claims or liabilities of any injuries arising out of my participation in this event. I grant permission to all the foregoing to use any photograph, motion pictures, recording or any photographic record of the event for any legitimate purpose.
- Click below if you agree to the terms of the waiver. REQUIRED I agree. Please fill out this field.
- NOTE: PLEASE CLICK THE SUBMIT BUTTON BELOW PRIOR TO MOVING FORWARD TO PAYMENT. IF YOU DO NOT CLICK SUBMIT, ALL CHANGES MADE TO THE ABOVE FORM WILL BE LOST.
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