BNI Infinity 5K Run & 1 Mile Walk


Merchant's Greene
6075 W. ANDREW JOHNSON HWY, Morristown, TN

6/4/2022


9 am. Business networking event that will benefit The Outreach Center which is a food pantry helping needy in our region.

Pre-registration:
(ends 6/2/22)
$30
$15 18 under
| Regular
| Registration:
$35
$20 18 under
Make checks payable to: BNI Infinity
Mail this form to: BNI Infinity
3535 Wedgewood Drive
Morristown TN 37814
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
rethompson@ft.newyorklife.com, 423 505 6788
5K Run
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
1 Mile Fun Run/Walk
Male & Female Awards:



Age Groups (top 3)
Un-Timed. No awards.

BNI Infinity 5K Run & 1 Mile 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 EVENT: 5K Run | 1 Mile Fun Run/Walk

*** CIRCLE SHIRT SIZE: 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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