Greene County Schools Lace Up for Literacy Event


Tusculum University, Greeneville Reds Stadium , Tusculum ,

8/24/2019


8:00 AM 5K Run or Walk with Finish line in Greeneville Reds Stadium

Pre-registration:
(ends 08/16/2019)
$25 5K Run
$15 1 mile Walk
| Regular
| Registration:
$30 5K Run
$20 1 Mile Walk
Make checks payable to: Greene Leaf or online Payment https://form.jotform.com/92193961390160
Mail this form to: Greene County Schools
910 W Summer St
Greeneville, TN 37743
All registrants receive a FREE ticket to Reds game on the 24th, T-shirt, and goody bag. Medals for top finishers in age categories.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Kristi Wallin
kristi.wallin@gcstn.org
423-639-4194
Online Registration: https://form.jotform.com/92193961390160
Greene County Schools Lace Up for Literacy event
Male & Female Awards:

Overall (top 3)

Age Groups (top 3)
...14,15-24,25-34,35-44,45-54,55-64,65-74,66...

Greene County Schools Lace Up for Literacy Event

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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