Annual Mules & Blues Fest

5K Walk/Run Registration

Date:
October 5

Registration Fee:
$25 per person

Registration Deadline:
September 30

"*" indicates required fields

Participant Information

Name*
Date of Birth*
Mailing Address*

Race/Walk Information

Race Choice*
Gender*
Adult 5K T-Shirt*

Release and Waiver

I, the undersigned, in consideration of the acceptance of the entry and registration as participant in the Mules & Blues Fest 5k waive and any all claims which I and my heirs and assigns may now have or hereafter have against the City of Marks or the County of Quitman, its members, and all officials, volunteers of the Mules & Blues Fest 5k which may directly or indirectly result from my participation in the 5k. I further warrant and represent that I am in proper physical condition to participate in the 5k and am not participating in this event against physiciansā€™ advice nor am I taking medication which would impair my health or ability to participate in this event. I further understand and agree that bicycles, strollers, skateboards, skates and the like are prohibited in this event and I will abide by these restrictions.

Payment Method*
Participant's Signature*
(Parent/Guardian must sign if participant is under 18)
This field is for validation purposes and should be left unchanged.

Checks must be received by September 30, 2024

Mail application
with appropriate fee(s) to:

Quitman County Welcome Center
Attn: Jermeria Skillom
300 Cherry St.
Marks, MS 38646

Questions?
Contact Dejuan Watts
662.255.1522