An End To Silence 3K: A Run For Endometriosis (CANCELLED 2017)


Warrior's Path State Park, Kingsport, TN

3/13/2016


3:00 pm. Flat and fast run at Warrior's Path State Park. This is NOT a fundraiser with no profits to any organization as such there is no entry fee, and no shirt. The goal of the run is to bring awareness to Endometriosis in order to increase diagnosis rates in this area and prevent the unnecessary prolonged suffering of afflicted girls and women.

Pre-registration:
(ends 3/12/16)
No fee! | Regular
| Registration:
No fee!
Make checks payable to: Girl Scout Troop 280
Mail this form to: Girl Scout Troop 280
205 Dickson Place
Kingsport, TN 37664
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Kaylie Richards, kaylierichard@yahoo.com
3K Run/Walk
Male & Female Awards:




Race will be chip timed but no awards will be presented.

An End To Silence 3K: A Run For Endometriosis (CANCELLED 2017)

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)_________________________________________

*** CIRCLE SHIRT SIZE:

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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