04/14/2019
HSBC-5K Run To Share The Faith
Saturday, May 4, 2019 at Heath Springs Baptist Church
Registration Entry Form
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Age (circle one only): 10-15 16-24 25-34 35-44 45-54 55-59 60+
T-shirt Size (circle one only): S M L XL XXL
Adults-----$30 Children-----(10 and under) Fun run and walk-----$15.00 (Register before April 18th get a $5.00 discount and a T-Shirt). Shirts will be sold on day of race for $10.00 each
This event will raise money for our mission fund at the church. The event will take place Saturday, May 4th at Heath Springs Baptist Church. Registration will begin at 7:00 am. The run/walk will begin at 8:00 am. Awards will be given in each division of the 5K.
Please make checks out to: Heath Springs Baptist Church and mail it along with your completed form to PO Box 400, Heath Springs, SC 29058.
EVENT DISCLAIMER: Please review the following waiver and disclaimer. By adding your signature, you accept this waiver and disclaimer. Waiver and Release: By participating in this Event, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property. I consent to medical treatment in the event of injury, accident and/or illness during the Event. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge the organizers of this event, its principals, its officers & directors, its employees, all sponsors and their representatives and employees from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that I have carefully read this ‘Waiver and Release’ and fully understand that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all Event sponsors for their negligence. I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the Event without compensation.
I AGREE Sign here: _________________________________________________________________________________
