The entry fee is $12, and the race will be electronically timed by We Run Events. T-shirts guaranteed for pre-registered entries by 10/11/23. |
| Pre-registration: (ends 11/3/23) |
Only $12!! | | Regular | Registration: |
Only $12!! | |
| Make checks payable to: Hope For Hancock | ||||
| Mail this form to: Hope For Hancock 544 Hugh Hopkins Rd. Sneedville, TN 37869 | ||||
| Circle 3X here for 3X shirt |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Sonya Winkle, sonya.a.winkle@tn.gov, 423-748-5336 | 5K Run/Walk Timed Male & Female Awards: Top Overall Top Masters Age Groups (top 3) 10 under, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 over. | 5K Walk Untimed Male & Female Awards: Age Groups (top 3) Non-competitive, no awards |
| 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 EVENT: 5K Run/Walk Timed | 5K Walk Untimed |
*** CIRCLE SHIRT SIZE: YS, YM, YL, SM, MD, LG, XL, XXL |
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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. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |