When:              Saturday, November 17, 2007, 8:00 a.m.  Tot Trot (ages 1-5) 8:45 a.m. Registration begins at 7:00 a.m. Rain or shine.  ** NOTE new start times this year!

Who:                Paideia alumni, alumni parents, current families, current students, grandparents, walkers, strollers, friends, neighbors, and first-time racers are most welcome.  No dogs, please.

Where:             Registration area in front of the Old Junior High Building. Post-race activities on the playground adjacent to the MAC Building.  See reverse for more information including a map of campus and details on where to park.

Entry Fee (Advance registration must be received by 11/9/07):

• Individuals $15 in advance.
• All Tot Trot participants (ages 1-5) are $5 whether registered in advance or on race day. 
• Late/race day registration $20 per participant.

The Goods:      All participants in the SLITHER will receive a t-shirt.  Refreshments available.  Awards will be given to the top three male and female finishers in each age group as follows: Overall Male, Overall Female, Overall Masters M/F, Under 10, 11-12, 13-14, 15-19, 20-29, 30-39, 40-49, 50-59, and over 60.

More Info:       Call 404-270-2379 or alumni.slither@paideiaschool.org  OR the Alumni section of www.paideiaschool.org.

                        Race details contact Ed Williams 404-327-7738 or roadraceservices@comcast.net

PARTICIPANT INFORMATION (Please fill out a form for each race or tot trot participant, please print)

                  Event (circle one):          Fun Run/Walk               Tot Trot (ages 1-5)

Name: _________________________________________________________________________________

Address: _______________________________________________________________________________

City: ____________________ State: _____________ Zip:___________

Home telephone: __________________________ Preferred email: ___________________________________

Age as of 11/06: ___________________ Sex:     Male     Female

How did you learn about the Slither? _________________________________________________________

I am a (circle one): Student, Current Paideia Parent, Faculty,Alum, Alumni Parent, Grandparent, Friend, Other ________

Event shirt size (circle your preference):  Adult S, Adult M, Adult L, Adult XL, Youth S, Youth M, Youth L, Tot

Enclosed is my entry fee of: $ _______________ ‪                                                                                                                               

I can’t make it, but I’d like to support the Slither as a Phantom Runner.  Enclosed is my race registration fee of  $20.                         

WAIVER

In consideration of the foregoing, I for myself, my heirs, executors, administrators, representatives, successors and assigns, waive and release any and all rights and claims of action I may have against Paideia School, the sponsors, their affiliates, agents, employees, directors, successors and assigns for injuries or harm to me, including my death, or from damage to my property in connection with my participation in this event.  I understand that this Release covers liability, claims and actions caused entirely or in part by any acts or failures to act of the foregoing, including, but not limited to negligence, mistake, or failure to supervise.  I attest and verify that I am physically fit and have sufficiently trained for these events. Further, I hereby grant full permission to any and all of the foregoing to use my likeness in any photographs or any other record of this event for any legitimate purpose including commercial advertising.

Signature: ______________________________Parent/Guardian (if under 18): ________________________