Run For Wishes - A Magical 5k

ETSU campus, Johnson City, Johnson City, TN

6/17/2023

This 5k Run/Walk, benefiting the Make-A-Wish Foundation of East Tennessee, will kick off at 9:00 AM and will help grant life-changing wishes to critically ill children in East Tennessee. Participants are encouraged to run or walk dressed as their favorite characters – think princesses, superheroes, wizards, and more. The Johnson City 5K is a part of the three-event series benefiting Make-A-Wish East Tennessee. Others include Chattanooga on April 15 and Knoxville June 3. Join us for these runs/walks and help make wishes come true.

Pre-registration: (ends 6/16/2023)	$25 through February 28 $30 March 1 through June 16	\| Regular \| Registration:	$35 June 17 at packet pickup
Make checks payable to: Make A Wish Foundation NOTE: Johnson City
Mail this form to: Run For Wishes 3101 Browns Mill Rd Suite 6-182 Johnson City TN 37604

Don't forget to dress up for the costume contest!

Circle here for 3XL shirt size

Headphones are permitted on the course | Strollers are permitted on the course

For more info contact
info@thegoosechase.org

5k
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
9 & under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Run For Wishes - A Magical 5k

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: YS, 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)

This entry form was generated with the SFTC Calendar Utility at www.runtricities.org