Run Registration Form

Shirt Size: (please circle)  Adult Shirt Sizes:          S  M  L  XL  XXL 

Circle the event in which you are participating:
5 K Run                 2 Mile Walk

All proceeds go to Macon Area Emergency Food Pantry

Courses- You will run in a beautiful area of our downtown and surrounding residential area. The 2 mile walk will begin at the same starting line.
Awards- Medals to top three finishers in each age group for male and female 5K Finishers. 
 Also an award for top male and female finisher on the 5K run. The 2 mile walk is for leisure, no awards.
T-Shirts- 5K run and walk participants will receive a short sleeved t-shirt.
Refreshments- water and fruit will be available to race participants at no charge.
No pets allowed on the run/walk course                         
Packet Pickup packets available from 7:00 until race time at registration table (119 N. Rollins St)
Location Downtown Macon, MO- from Hwy. 63 North or South, turn west on Vine Street

Please bring canned goods and non-perishable items to “STUFF THE TRUCK”.  All items will be donated to the Macon Emergency Food Pantry.

Entry fee for Run & Walk:

$15/person through 6/21               $20/person day of race 

 Entries must be signed & mailed w/ payment:  Macon Area Chamber of Commerce      119 N. Rollins      Macon, MO, 63552

            Checks made to: Macon Area Chamber of Commerce

For more info. Contact:          Macon Area Chamber of Commerce        660-385-2811 

Men’s & Women Divisions for 5K Run

13 & under   14-19   20-29   30-39  40-49     50-59      60

Saturday, June 22, 2013           5k Run – 8:00am       2 mile Walk – 8:05am



Food & Drinks Sponsored by:

Prenger’s, Orscheln’s,

C&R Supermarket


Run is Sponsored by:

ConAgra Foods

Macon Area Chamber of Commerce


Run Tent Sponsored by:

Harland Rentals


   Name  & Address                                                                                                                                                                                                                                                                                                     

Phone ______________________          Gender (Circle)   M   F             Age on day of race                /          /                Email ___________________________________

Race Application Waiver- intending to be legally bound, I understand and agree that I am voluntarily participating in the following event: Child Hunger Ends Here 5K run or 2 mile walk at my own risk. I acknowledge and represent that I am physically fit and sufficiently trained to participate in an event of this nature, and I accept all and full responsibility for any injury or accident resulting from my participation in this event and release from any liability the City of Macon, Macon Area Chamber of Commerce, ConAgra Foods, all race sponsors and any race officials or volunteers connected with this event.

Signature / Date                                                                                                                                                                                  
(Parent or Guardian Signature if under 18) (Must be signed to participate)

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