18th Annual Earn Your Turkey 5K Thanksgiving Fun Run


The Shepherd's Center
306 East Main St.
Downtown- historic Rogersville, TN 37857, ROGERSVILLE, TN

11/28/2019


8am - 5K registration begins at 7am

Pre-registration: $15 - 5K "fun run" w/ t-shirts | Regular
| Registration:
$15 - 5K "fun run" no t-shirts guaranteed
Make checks payable to: Of One Accord Ministry - food program
Mail this form to: Earn Your Turkey Run
PO Box 207
Rogersville, Tn. 37857
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Sheldon Livesay
423-923-0864 cell / 423-921-8044 office
18th Annual Earn Your Turkey 5K Thanksgiving Fun Run
Male & Female Awards:




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18th Annual Earn Your Turkey 5K Thanksgiving Fun 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,

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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