The Walker Run, Live for Today 5K
One registration form needed for each individual; please feel free to register online at www.racesonline.com
Saturday April 13th 7:30 am Brentwood High School, 5304 Murray Lane Brentwood, TN 37027
Registration/Sign-In begins at 6:30 am
Name:________________________________________________________________
DOB: _____________ (if under 18 yrs, must have guardian signature)
Email address:_________________________________________________
Mailing Address: _______________________________________________________
City:______________________________________________________ State:____________ Zip:___________
T-Shirt size: (Adult sizes only): S M L XL XXL (Circle one)
**Tshirts guaranteed if registered by March 29th. Tshirts will be on first come first serve basis if registration received after this date or if register on race day
Fee: $25 per person (children 12 and under free but will not receive t-shirt)
If your child would like a shirt you will need to register your child as race participant paying the $25 fee
Amount enclosed: ____________
Make checks payable to The Walker Run
Send registration and/or donation to: STAR Physical Therapy 343 Franklin Road Suite 201 Brentwood, TN 37027.
Registration postmarked on or before March 23th will include a t-shirt. Registrations after this date will be accepted but not guaranteed a t-shirt. T-shirts may be picked up on Friday night April 12th at STAR Physial Therapy, 343 Franklin Road Suite 201, Brentwood TN or day of race.
One registration form needed for each individual; please feel free to register online at www.racesonline.com
Saturday April 13th 7:30 am Brentwood High School, 5304 Murray Lane Brentwood, TN 37027
Registration/Sign-In begins at 6:30 am
Name:________________________________________________________________
DOB: _____________ (if under 18 yrs, must have guardian signature)
Email address:_________________________________________________
Mailing Address: _______________________________________________________
City:______________________________________________________ State:____________ Zip:___________
T-Shirt size: (Adult sizes only): S M L XL XXL (Circle one)
**Tshirts guaranteed if registered by March 29th. Tshirts will be on first come first serve basis if registration received after this date or if register on race day
Fee: $25 per person (children 12 and under free but will not receive t-shirt)
If your child would like a shirt you will need to register your child as race participant paying the $25 fee
Amount enclosed: ____________
Make checks payable to The Walker Run
Send registration and/or donation to: STAR Physical Therapy 343 Franklin Road Suite 201 Brentwood, TN 37027.
Registration postmarked on or before March 23th will include a t-shirt. Registrations after this date will be accepted but not guaranteed a t-shirt. T-shirts may be picked up on Friday night April 12th at STAR Physial Therapy, 343 Franklin Road Suite 201, Brentwood TN or day of race.
Waiver: In consideration of the acceptance to The Walker Run, I waive all claims for myself, my heirs and assignees against all sponsors, promoters and volunteers from injury or illness which may result from my participation. I am in proper physical condition to compete in this race and risks associated therewith. I also give my permission for the free use of my name and picture in any written account, broadcast or telecast of this event for any legitimate purpose. I understand that if the race is canceled because of any circumstances beyond the control of the race committee and sponsors including but not limited to hazardous weather conditions or government ban, my entry fee will not be returned. This is a non-sanctioned race and is not tax deductible.
Signature: ______________________________________________________________________
Legal guardian if under 18 yrs of age:__________________________________________________
Date: ____________________________
Signature: ______________________________________________________________________
Legal guardian if under 18 yrs of age:__________________________________________________
Date: ____________________________
