filling out the attached form

PARTICIPANT ENTRY FORM
(Registration form must be received by October 22, 2012)
Name:
Sex:
male or female (circle)
CORPORATE SPONSORSHIP
Platinum Sponsor
Gold Sponsor
Silver Sponsor
General Sponsor
$5,000
$2,500
$1,000
$500
All Platinum, Gold, and Silver sponsors will have their
company name placed on the back of the race t-shirt
as well as included in next year’s race brochure.
Recognition will be placed in agency newsletters and
on our website.
Address:
Email:
(for Race Communications)
Business Name:
Cell Number:
Main Contact:
Age on the Day of Race:
Address:
T-shirt size: XS S M L XL XXL
(circle one)
Phone:
Participant Liability Release
I, the undersigned participant and/or parent/guardian
of participant, release CrossBridge, Trevecca Community Church, Trevecca Nazarene University, and
Trevecca Towers from all claims for any injuries, death,
or property damage arising from involvement in The
Challenge Race to be held on 11/3/12 on the campus
of Trevecca Nazarene University and the surrounding
business premises. I understand photographs will be
taken during the race and I hereby release and permit
CrossBridge, Trevecca Nazarene University, and the
news media to use for promotional purposes said
photographs of me and/or my minor child.
Signed:
Date:
Mail completed registration form to
Crossbridge, Inc.
Attn: The Challenge
335 Murfreesboro Road, Nashville, TN 37210.
Email:
Sponsorship level:
Make all checks payable to CrossBridge and mail to
335 Murfreesboro Road, Nashville, TN 37210 with a
copy of this form. CrossBridge operates KidPOWER.
Your gift is tax deductible.
“The Challenge” is presented in partnership by:
CrossBridge
Trevecca Nazarene University’s Athletics Department
Trevecca Community Church
the Trevecca Towers.
Obstacle filled road race benefitting
Course includes:
• Conquering 2 challenge hills
• Running TNU Baseball Field Bases
• Tire Run and Soccer Field Obstacles
• Climbing Trevecca Towers Stairs
Race route can be found at www. crossbridgeinc.org
KID POWER
KidPower is an after school program on the Trevecca
Community Campus provided free to families in the
Napier Community. The program seeks to help children
make life-empowering decisions that will help them
break free of the effects of generational poverty including: staying in school, refusing to use drugs, developing
healthy exercise and nutrition habits, and solving conflict
in peaceful ways all while committing to a life of community service.
This race is called “The Challenge” because it raises
funds to address the challenges the Napier Elementary
kids face in overcoming the effects of poverty. Children
growing up in this environment are much more likely
to drop out of school, use drugs, commit crime, and
become pregnant while they are still children. Perhaps
the most devastating effect of generational poverty is
that children grow up believing their futures are determined by factors beyond their control.
Kid POWER participants are encouraged to choose:
•
Purity in body and mind
•
Others (Community Service)
•
Wellness
•
Excellence in Academics
•
Reconciliation
Your participation in “The Challenge” will help these
children OVERCOME the “challenges” and “obstacles”
they face while equipping them to change their community.
This course should take between 30 minutes and an
hour to complete (depending on athletic ability). Both
runners and walkers are welcome.
AWARDS
RACE INFORMATION
You can participate in “The Challenge” and raise
money for KidPOWER in two ways:
“The Challenge” T-shirt will be provided to every race
participant.
1. Become a race participant and raise a
minimum of $50 in sponsorships. A grand prize will be given to the person who raises the most in sponsorship dollars. Every race participant that raises at least $1,000 in sponsorship dollars will be given a $50 Visa Gift Card.
2. Sign up as a corporate Sponsor. See back
page for sponsorship levels.
All gifts are tax deductible.
Race Date:
Saturday, November 3, 2012
at 7:00am
Pick up Race Bib & Turn in Sponsorship Monies:
Friday, November 2, noon-6:00pm or Saturday,
November 3, 6:00am-6:45am at the Trevecca
Community Church.
Breakfast provided for all participants following the
race at the university church.
Race Information Contact: Tina Mitchell, Crossbridge,
[email protected], 615-244-5918
Additional Awards will be provided for the following
categories:
• Fastest Male & Female-25 & Under
• Fastest Male & Female-25-40 years
• Fastest Male & Female-41 years plus
• Oldest person to complete the race
• Youngest person to complete the race