Hampton Bulldogs Baseball 5K Run/Walk


Hampton High School, Hampton, TN

10/21/2017


Registration/Sign-In: 8:00-8:45 AM
Race Begins at 9 AM

Pre-registration:
(ends 10/13/2017)
Early Bird Registration- $20


| Regular
| Registration:
Race Day Registration- $25
Make checks payable to: Hampton High School
Mail this form to: 766 1st Avenue
Hampton, TN 37658
Only individuals who pre-register by October 13th will be guaranteed an event t-shirt.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Nicholas Perkins
njperkins@embarqmail.com
423-291-1701
Hampton Bulldogs Baseball 5K Run/Walk
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Top Age Groups
1-19, 20-29, 30-39, 40-49, 50-90

Hampton Bulldogs Baseball 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)_________________________________________

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL,

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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