Finding Hope Beyond the Wall 5K Walk / Run


Sullivan County Justice Center, Blountville, TN

4/13/2019


Registration @ 8 5K starts at 9 a.m. Good News Jail & Prison Ministry places chaplains in jails and prisons to minister daily to men and women behind prison walls. They provide life-changing assistance and direction to thousands of inmates who will one day be released back into our community. The chaplains provide encouragement, guidance and support to correctional officers and prison staff. This event will provide support for the chaplains serving in Bristol, VA & Sullivan County, TN Jails. Since its founding in 1961, this ministry has been fully supported through donations from caring individuals like you.
Results

Pre-registration:
(ends 3/31/2019)
$20 - Kids 10 and under $10 | Regular
| Registration:
$25 - Kids 10 & under $10
Make checks payable to: Good News Jail Ministry
Mail this form to: Chaplain Kent Pugh
P.O. Box 18
Blountville, TN
37617
Shirts only guaranteed to pre-registered runners.

Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Gilda Burkett
423-366-4606
gilda.burkett@goodnewsjail.org
Finding Hope Beyond the Wall 5K Run / Walk
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
...9,10-19,20-29,30-39,40-49,50-59,60-69,70...

Finding Hope Beyond the Wall 5K Walk / Run

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: 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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