Isaiah 117 House Love You Are Not Alone Family Fun 5K Run/Walk


The Covered Bridge, Elizabethton, TN

10/13/2018


9:00 a.m. 5K
8:00 a.m. Registration begins
Please join us on October 13th for our 1st Annual Isaiah 117 House Love You Are Not Alone Family Fun 5K Run/Walk. Register before September 29th to receive a free race day shirt! When you register make sure to include your T-shirt size. We have youth small-adult 2X available. The cost is $25/runner with proceeds going to help support the Isaiah 117 House ministry!
USATF Certified Course Number TN18052MS
Results

Pre-registration:
(ends 9/30/2018)
$25 | Regular
| Registration:
$25
Make checks payable to: Isaiah 117 House
Mail this form to: Isaiah 117 House
P.O Box 842
Elizabethton, TN
37644
Shirts only guaranteed to pre-registered runners.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Rhonda Paulson info@isaiah117house.com
Isaiah 117 House 5K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
1 - 14, 15 - 19, 20 - 29, 30 - 39, 40 - 49, 50 - 59, 60 and over

Isaiah 117 House Love You Are Not Alone Family Fun 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: YT, 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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