2019 Triad Hindu Temple "5k RunWalk"
OCTOBER 19, 2019 |
8-8.30AM FUN RUN|
9-10AM RUN/WALK
OAK RIDGE TOWN PARK - 6231 LISA DR, OAK RIDGE, NC 27310

REGISTRATION FEES:
$20 BEFORE 9/30 OR $25 AFTER 10/1
T-SHIRT GUARANTEED ONLY FOR REGISTRATIONS BEFORE 9/30

AWARDS:
AGE GROUP 1(9-13) - TOP 3 TIMERS;
AGE GROUP 2 (14-17) TOP 3 TIMERS;
ALL FUN RUN KIDS PARTICIPANTS GETS A MEDAL
Full Name: *
FirstName LastName
Your answer
Sex: *
Age: *
Participant Age
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Address: *
Your answer
City, State & Zip: *
Your answer
Phone: *
Your answer
Email: *
Your answer
Run/Walk Category: *
Shirt Size:
Waiver(MUST BE SIGNED): *
In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, myexecutors and administrators, waive and release and any all rights and claims for damages I may have against the race, andsponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest thatI will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event.Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record ofthis event in which I may appear for any legitimate purpose, including advertising and promotion.
Required
Signature: *
Signature of yourself if above 18/Signature of Parent if below 18
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service