Glow Crazy 5K Run/Walk


Greater Kingsport Family YMCA
1840 Meadowview Parkway
Kingsport, TN 37660, Kingsport, TN

10/7/2023


7:00 pm. Come join the fun and be part of the YMCA Glow Crazy 5K Run/Walk at the YMCA in Kingsport. The Glow Crazy 5k is for everyone. We love when the whole family and groups of friends join us in the excitement. Feel free to walk, run, stroll or dance your way through this fun-filled 3.1 mile course. Don’t forget to bring your glow! .

Pre-registration:
(ends 8/31/23)
$30 - YMCA Members (ages 16 over)
$35 - Non-YMCA Members (ages 16 over)
$5 - Ages 10-15
Free - Ages 9 under
| Regular
| Registration:
$40 - YMCA Members (ages 16 over)
$45 - Non-YMCA Members (ages 16 over)
$10 - Ages 10-15
Free - Ages 9 under
Make checks payable to: Greater Kingsport Family YMCA
Mail this form to: Greater Kingsport Family YMCA
1840 Meadowview Parkway
Kingsport, TN 37660
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Danielle Puckett, dpuckett@ymcakpt.org, 828-719-7764
5K Run/Walk
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
1-9, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Glow Crazy 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: 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)


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