Garrett's Hero Run - ETSU


ETSU, Johnson City, TN

4/6/2018


4:30pm Registration begins
5:30pm 5K run

New this year*** Superhero themed carnival following the race starting at 6:00pm!! Join us for some family friendly fun!

Registration tables will be set up on ETSU campus quad located between Physical Education building and Gilbreath Hall
This race raises money for the organization Parent Project Muscular Dystrophy, which raises money to find a cure for Duchenne Muscular Dystrophy.

Come dressed in your best superhero costume!
Be sure to register before March 24 to be guaranteed a shirt!

Pre-registration:
(ends 03/24/18)
$20 - 5K run, $15 walk | Regular
| Registration:
$25 - 5K run, $20 walk
Make checks payable to: Parent Project Muscular Dystrophy
Mail this form to: Medical Professions Advisement Programs
Pre-Health Living Learning Community
222 Culp Center | PO Box 70592
Johnson City, TN 37614
Only pre-registered runners are guaranteed a shirt.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Abigail Daugherty adaugherty82@gmail.com
5K Garrett's Hero Run
Male & Female Awards:

Top Overall

Age Groups (top 3)
1-14, 15-19, 20-29, 30-39, 40-49, 50+

Garrett's Hero Run - ETSU

LAST NAME__________________________________ FIRST NAME_________________________ M.I._______

SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________

ADDRESS___________________________________________________________________________

CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________

RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________

TEAM NAME____________________________

*** CIRCLE SHIRT SIZE: YS, YM, YL, SM, MD, LG, XL, XXL

IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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