P. 1
Holiday Hustle Registration Form

Holiday Hustle Registration Form

|Views: 0|Likes:

More info:

Published by: Brittany Anderson Higgins on Nov 02, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

11/02/2012

pdf

text

original

Holiday Hustle

Carl Perkins Center - 130 Boyd Avenue - Brownsville, TN Registration: 4:00 pm Race: 5:00 pm

Naughty or nice, walker or runner, come burn Registration: a few holiday calories and give back to others in the 1st Annual Holiday Hustle, benefitting the Carl Perkins Center. Enjoy running, Name: walking, riding a bike, or pushing a stroller Address: down Main Street prior to the Christmas Parade. Dress up to show your holiday spirit!
The event will begin at the Carl Perkins Center, go west on Main Street, and make a U-turn at the North Pole in front of Anderson Early Childhood Center. If at any point during this event you need to turn around, please feel free to do so. This event will NOT be timed.

Date Received:

City: State: Email: Gender:

Zip: Age:

T-Shirt Size: (Circle one)
*Only PAYING participants who PREREGISTER will receive a shirt.

Race Registration Fee……Before November 15: $25 Day of Race: $30 Kids’ Fun Run……………....Free 8 years old and under
*ONLY paying participants who preregister will receive a shirt*

S YS

M YM

L YL

XL YXL

Carl Perkins Center Carl Perkins Center 130 Boyd Ave. Brownsville, TN 38012

Put on your stockings and race against our Skinny Santa!

Awards
 Prize for Best Adult Individual Costume  Prize for Best Child Individual Costume  Prize for Best Group Costume  Prize for Tackiest Christmas Costume  Prize for Most Festive Attire  Prize for Best Decorated Bike

Release: I, undersigned (parent or guardian, if under 18 years of age), desire to participate in the Carl Perkins Holiday Hustle. Therefore, I release the sponsoring group and all sponsors of the event herein, together with all of their officers, agents, officials, directors and employees, from any and all liability, claims, demands, actions or cause of actions whatsoever, arising out of or relating to any injury, illness, loss or damage, including death, relating to participation in the aforesaid events. I am aware the activities may be hazardous or expose me to hazards and I do freely and voluntarily assume all risks. I also give permission for free use of my name and or picture in any advertisement, broadcast, telecast, or other account of these events or promotions of other like events. I further understand that my entry fee is non-refundable. Signed: (Parent or guardian if under 18)

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->