5K REG NO DATE 2016 ugly elise logo

5K 8K
and
To benefit Smoky Mountain Area Rescue Ministries
Date/Time:
Saturday, May 21, 2016 ; Registration opens at 7:00 AM; Race starts at 8:00 AM
Where:
Veterans Blvd. at Charlotte’s Ct., Pigeon Forge
Parking and Registration will be at Auntie Belham’s Cabin Rental
Course:
Out and back course with fast downhill finish
Registration: ADULT $25 in advance (post-marked by May 13 st ) (includes race t-shirt)
$30 late registration (includes race t-shirt while supplies last)
KIDS
$10 ages 6 -10, ages 5 and under Free
Cash
Prizes
Register online at www.5kinmayrescuerun.com
ILY
FAM N
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Awards:
Mail this form along with your registration fee to:
SMARM 5K Run
P.O. Box 5968
Sevierville, TN 37864
Make checks payable to SMARM. For additional information, contact the Smoky Mountain Area
Rescue Ministries office at 865.908.3153 or www.smarm.org.
CASH PRIZES for the top male and female in the 5K & 8K
Other great prizes for: Top 1 male and female in each category: Master, Grand Master, Veteran
Top 3 males & females in each age division: 19 and under, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and up
Thank you for the blessing of your participation in our event which will allow us to care for individuals and families in need. Our community and many others outside our area
have come together to serve thousands of needy or desperate families and to prevent homelessness which is nestled in and around the Smoky Mountains of East Tennessee.
Smoky Mountain Area Rescue Ministries is a Sevier County, Faith-Based, Nonprofit 501(c)(3) Corporation.
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OFFICIAL ENTRY FORM
Last Name:____________________________________ First Name:_____________________________________
Address:_____________________________ City:____________________ State:______ Zip Code:__________
Date of Birth:__________ Age: ___ Gender (circle one): Male Female
Phone:(______)__________________
Email:__________________________________ In case of emergency call:_______________________________
Shirt Size (circle one):
I am participating in the:
Small
5K
Medium
8K
Large
Extra-Large
Extra-Extra-Large
Volunteer Only
Please check the box to the left if you are volunteering for the race and do
NOT plan to participate in the race.
Release: I know that I am running, walking and volunteering in a road race which is potentially hazardous. I realize that I should not participate in this event
unless I am medically able and properly trained. I agree to abide by any decision of race officials relative to me being able to safely participate in this event. I
assume all risk associated with running, walking, or volunteering in SMARM’s 5K in May including but not limited to falls, contact with other participants, the
effects of weather, and the condition of the road and traffic on the course. Having read this waiver and knowing these facts, and in consideration of your
acceptance of my application, I for myself and anyone entitled on my behalf, waive and release The Smoky Mountain Area Rescue Ministry, The City of
Sevierville, The City of Pigeon Forge, and all further sponsors, their representatives and successors from all claims or liabilities of any kind arising from my
participation in the aforementioned event even though that liability may arise out of negligence on the part of the persons named in this waiver. I also grant the
forgoing use of my photograph, motion pictures, recordings, or record of my participation in this event for any purpose they deem appropriate.
Signature:_____________________________________________________________ Date:__________________
(If participant is under 18, child & parent/guardian must both sign)