Making Strides Against Breast Cancer 5K Run/Walk


Founders Park, 74 Wilson Avenue, Johnson City, Johnson City, TN

10/22/2017


3:00 pm. Join us for the very first Making Strides Against Breast Cancer 5K Run/Walk. The event will be held at Founders Park on the same course as the Blue Plum Fast 5K. Plenty of post-race food and entertainment. Join us in memory of or in honor of loved ones with breast cancer, and help support the American Cancer Society in their fight to find a cure.

Pre-registration:
(ends 10/1/17)
$25. Shirts guaranteed to pre-registered. | Regular
| Registration:
$35
Make checks payable to: Making Strides
Mail this form to: American Cancer Society
871 N. Weisgarber Rd.
Knoxville, TN 37909
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Ken Harris, kenneth.l.harris@citi.com
Making Strides 5K Run/Walk
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
10 under, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 over

Making Strides Against Breast Cancer 5K 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)_________________________________________

TEAM NAME____________________________

*** CIRCLE SHIRT SIZE: 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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