Home » Test Registration Step 1 of 2 50% Name* First Last Email* PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Gender*--Select Below--MaleFemaleAge*Your age as of May 11th, 2013Emergency Contact* First Last Emergency Contact Phone*(###)###-####How did you hear about this event?--Select One--Family/FriendCentral MS Down Syndrome SocietyThe Little Light HouseFacebookTVRadioFlyerOtherSelect which race activity you would like to participate in:3.21 Mile Run (includes chip timing) - $25 ($30 after March 15th)3.21 Mile Walk (includes chip timing) - $25 ($30 after March 15th)Kids Fun Run/Walk - $12 ($15 after March 15th)Select which style of race shirt you would like:*--Select Below--Gildan Performance SS Technical Shirt (blue)Gildan SoftStyle SS T-shirt (blue)T-Shirt Size*--Select Below--XSSMLXLXXLT-Shirt Size*--Select Below--Youth XSYouth SYouth MYouth LSMLXLXXLT-Shirt Size*--Select Below--Youth XSYouth SYouth MYouth LSMLXLXXLIf you would to order an extra race shirt, choose a shirt style below:--Select Below--Brooks Podium SS Technical (gray)Gildan SoftStyle SS (gray)T-Shirt Size*--Select Below--XSSMLXLXXLT-Shirt Size*--Select Below--Youth XSYouth SYouth MYouth LSMLXLXXLCoupon 5K Training GuideSelect below to add to cartTraining GuideNo Training GuideUpon successful payment, the 5K training guide will be emailed to your email address. 100% of proceeds of the training guide will go to the Central MS Down Syndrome Society.Team Name:Optional: If you are interested in Joining/Starting a team, please enter the team name above.If you would like to add a donation amount, please insert below: Total $0.00 Race WaiverIn order to participate, you must accept the terms of the race waiver below. By checking the box below, you are acknowledging that you accept and understand the terms stated below.I know that running [volunteering for] a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates or roller blades, and animals are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Run Up for Downs, Runnning for Lily, Central Mississippi Down Syndrome Society, Stinkyfeet Athletics, the city of Ridgeland, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.BY CHECKING THIS BOX, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND ACCEPT THE CONDITIONS OF THIS (i) LIABILITY RELEASE, INDEMNITY, AND PROMISE NOT TO SUE, AND (ii) AUTHORIZATION AND RELEASE TO USE LIKENESS.* I ACCEPT THE TERMS & CONDITIONS STATED ABOVE Your Signature verifying that you agree to the terms & conditions stated above.