8th Annual Make-A-Wish 5k Run/Walk


Tusculum University Campus and Tusculum Trail , Greeneville, TN

4/6/2019


PSAAC invites you to join us for the annual Make-A-Wish 5k Run/Walk on April 6th, 2018! This years race will feature a fresh course and fun activities for not only the race participants, but for the kids! The "Zeke Zone" will be available for all kids of the participants*. We want this to be the best experience for all of our supporters and those participating. Check out the pricing at registration which now features a team price discount to all those who register a team of five!

WHAT IS INCLUDED:
-Race Participation
-Goodie Bag
-Race Shirt
-Pre and Post Race Snacks
-Zeke Zone for Kids 3+ of Race Participants
-Prizes for Top 3 Overall Finishers

Registration starts at 8:45 AM; Race start at 10:00 AM

| Regular
| Registration:
$100-Team of 5
$25-Adult Individual
$15-18 and Under
Make checks payable to: Tusculum Athletics
Mail this form to: Tusculum Athletics, 60 Shiloh Road, Greeneville, TN 37745
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Jenna Restivo; jrestivo@tusculum.edu; office: 423-636-7300
8th Annual Make-A-Wish 5k Run/Walk
Male & Female Awards:

Overall (top 3)
Masters (top 3)

Age Groups (top 3)
...18,19-23,24-28,29-33,34-38,39-43,40...

8th Annual Make-A-Wish 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: 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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