Tennessee State Parks Running Club Registration Form
Run Club registration is open to all students and adults, with program emphasis on grades 5 through 8. Parents and younger siblings are welcome to attend practices, races and events. All registered runners agree to arrive to practices, races and events to the very best of his or her ability. If unable to attend practices, races or events please notify the coach before the time of the scheduled practice, race or event.
Participant's Name *
Preferred Name (if different from above)
State Park *
T-Shirt Size
Participant's Birthdate *
MM
/
DD
/
YYYY
Participant's Gender
Clear selection
Parent's/Guardian's Name (if applicable)
Email *
Address *
Phone (Cell) *
Can We Text You?
Clear selection
How would you like to receive announcements? *
Required
Phone (Home)
Phone (Work)
Emergency Contact
For minor participants, I understand that in the event of an emergency concerning my child, every effort will be made to contact my child's parents/guardians. If parent/guardians are not available the following person(s) is/are authorized to act in their place:
Name(s) *
Relationship to Participant *
Phone (Cell) *
Phone (Home)
Phone (Work)
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