Church Hill Medical Missions Flamingo 5K Run


A. S. Derrick Park Church Hill, TN, Church Hill,

8/25/2018


7:00 a.m. Registration
8:00 a.m. 5K Run or Walk
Medals for first place age group winners and really cool mini-flamingos for 2nd and 3rd. Proceeds from the race go to One Accord Ministries, a non-profit organization that helps to meet the needs of low-income families and individuals in Hawkins and Hancock Counties and beyond.
  • Results

  • Pre-registration:
    (ends 8/19/2018)
    $25 before August 19 | Regular
    | Registration:
    $30 - Race day registration is fine!
    Make checks payable to: Church Hill Medical Mission
    Mail this form to: P.O. Box 166
    Church Hill, Tn 37642
    Headphones are permitted on the course | Strollers are permitted on the course
    For more info contact
    Tammy Brown-tambra196344@outlook.com
    Teresa Tilson - tereastilson1957@gmail.com
    Phone: 423-256-2408
    Flamingo 5K 5K Run
    Male & Female Awards:

    Top Overall
    Top Masters
    Top GrandMasters

    Age Groups (top 3)
    ...14, 15-19, 20-29, 30-39, 40-49, 50-59, 60 & up

    Church Hill Medical Missions Flamingo 5K 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: 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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