Community of Unity 2nd Annual 5K Fun Run/ walk


Downtown Greeneville at the corner of Main st. and Depot st., Downtown Greeneville,

5/13/2017


7am - Registration
9am - 5K Fun run begins
All proceeds from event will stay in our community and be dedicated to helping our children through the GCS Family Resource Center.

Pre-registration:
(ends 04/21/17)
$20 - by April 21, 5K Fun Run | Regular
| Registration:
$25 - Received after April 21 thru morning of run
Make checks payable to: Greeneville City Schools
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Greeneville City Schools Diversity Team
Sheila Bailey (423) 620-0512
Baileys@gcschools.net
Community of Unity 2nd Annual 5K Fun Run
Male & Female Awards:



Age Groups (top 3)
12 & under,13-23,24-34,35-45,46-56,57 & over. Top 3 finishers in each category will receive a medal. Registration makes you eligible for a $25 gift card drawing to a local restaurant.

Community of Unity 2nd Annual 5K Fun Run/ walk

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: YS, YM, YL, XS, 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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