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 *
Your answer
Preferred Name (if different from above)
Your answer
State Park *
T-Shirt Size
Participant's Birthdate *
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Participant's Gender
Parent's/Guardian's Name (if applicable)
Your answer
Email *
Your answer
Address *
Your answer
Phone (Cell) *
Your answer
Can We Text You?
Phone (Home)
Your answer
Phone (Work)
Your answer
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) *
Your answer
Relationship to Participant *
Your answer
Phone (Cell) *
Your answer
Phone (Home)
Your answer
Phone (Work)
Your answer
Legal Guardians must sign the Release of Liability form before participating in the Run Club. If you choose, you may print this form or request a paper copy and return the completed registration packet to your Run Club Coach.
Electronic Signature: Please Type Your First and Last Name *
Your answer
Time *
Time
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Date *
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*
Required
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