The Salvation Army Red Kettle Krush 5k Run/Walk


Downtown Jonesborough. Location TBA., Jonesborough, TN

10/16/2022


2:00 pm. Stay tuned for more information on this new race to benefit the Salvation Army.

Pre-registration:
(ends 9/25/22)
$25
Students (with valid student ID), Military (with valid ID), and seniors (60+) save $10
| Regular
| Registration:
$30 by 10/15
$35 on 10/16
Students (with valid student ID), Military (with valid ID), and seniors (60+) save $10
Make checks payable to: The Salvation Army
Mail this form to: The Salvation Army
204 W. Walnut St.
Johnson City, TN 37604
(ATTN: Cheryl King)
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Davina Myers, Davina.Myers@uss.salvationarmy.org
5K Run/Walk
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60 over

The Salvation Army Red Kettle Krush 5k Run/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 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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