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Captain Request - Jackson YMCA Turkey Trot 5K
November 28, 2019
Current Captain Application? *
I have filled out the Captain Application on the Michigan Chapter website at: https://www.myteamtriumph-mi.org/become-a-captain
Last Name *
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First Name *
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Street Address *
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City *
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State *
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Zip *
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Phone *
xxx-yyy-zzzz
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Email *
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Emergency Contact Name *
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Emergency Contact Phone *
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Birthdate *
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YYYY
Shirt Size *
mm/dd/yyyy
Teammate Request
If you would like to team with specific Angels for this event, please share their names here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
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Event Waiver *
Race Waiver, Consent & Release To photograph videotape and/or publish imageBy: The Turkey Trot Committee, The Jackson YMCA, news media or other agent.I acknowledge that running or walking in a road race is a potentially dangerous activity. I should not enter and run or walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run/walk. I assume all risk associated with running or walking in this event, including, but not limited to, contact with other participants, the effects of weather, including cold temperatures, rain and/or snow, traffic and the conditions of the road, all such risk being known and appreciated by me. Having this waiver and knowing these facts, and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release, the Turkey Trot committee, the Jackson YMCA, the City of Jackson, and all race sponsors, and their representatives and successors, from all claims of liabilities of any kind arising out of this event. I consent and authorize the Turkey Trot committee, the Jackson YMCA and its employees or authorize other, to interview, televise, videotape, broadcast, photograph, or publish display a story or article about me or someone for whom I am authorized to sign. I understand and therefore, I release the Turkey Trot committee, the Jackson YMCA, its employees and authorized others from any and all liability that may result from my authorization and consent to such interview, news release, photographs, video tape, or published article.
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