The Red Black & Blue Race For Ian (10 year anniversary)


Trinity Baptist Church
260 Headtown Rd
Jonesborough TN 37659, Jonesborough,

6/17/2017


7:00am - Packet pick up and same day Registration
8:00am - start for the 5K
8:05am - start for the Mile Fun Run
This event raises funds for Tennessee Hemophilia and Bleeding Disorders Foundation. Ian is a severe hemophiliac. This means he has a Factor 8 clotting agent problem. He takes port injections of Factor 8 to help with joint bleeds,
bruising and every day life happenings. He will be turning 10 years old 7/27/17 and to date he has had around 2,000 injections to help with this disorder. Due to the low percentage of people this affects, research funds are small compared to other disorders
that affect a larger population. Every bit helps! Thank you in advance for your support. Large trophies are given for the overall winners. Plus we usually have 50 or more gift give-a-ways through drawings. All you have to do is be registered.
You do not even have to be there or even run to receive these prizes. Prizes of past years: Overnight stay at the Carnegie Hotel, Massages, games, running attire, running headphones,
Theater movie tickets, gift cards (Walmart, Target, Best Buy, local food establishments) clothing, Free workout memberships, and cosmetics just to mention a few.
Hope to see ya there!
God bless,

Pre-registration:
(ends 6/3/2017)
$20
only pre-registered are guaranteed your shirt size
| Regular
| Registration:
$20 on line until June 16 (noon)2017: not guaranteed a shirt
Make checks payable to: THBDF
Mail this form to: The Red Black & Blue Race for Ian
511 West Main
Jonesborough TN 37659
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Michael Bates 423-767-6814
email: mbates@trinity3e.org
mailing address: 511 West Main Jonesborough TN 37659
Red Black & Blue Race for Ian 5K
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70...
Fun Mile Run
Male & Female Awards:

Top Overall


...19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

The Red Black & Blue Race For Ian (10 year anniversary)

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 EVENT: Red Black & Blue Race for Ian 5K | Fun Mile Run

*** 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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