Race For Freedom 5K


Damascus Town Park
312 S. Beaver Dam Ave.
Damascus, VA 24236, Damascus, VA

9/30/2023


9:00 am. The event is a fundraiser for Hands & Feet Prison Ministry. Funds raised help with reentry and with needs of the families of the incarcerated.

Pre-registration:
(ends 09/08/2023)
$25 | Regular
| Registration:
$30 by 9/22/23
$35 After 9/23/23
Make checks payable to: Hands and Feet Ministry
Mail this form to: Hands and Feet Ministry
PO Box 507
Damascus, VA 24236
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Shannon Mutter, shannonm@wcs.k12.va.us, 276-206-3813
Race For Freedom 5K
Male & Female Awards:

Top Overall

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

Race For Freedom 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: 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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