Habitat for Humanity of Cherokee County 1st Annual TURKEY TROT November 22nd, 2014 Registration Form 5K Run/Walk Non-Refundable Packet Pick-Up: Friday November 21st from 4:00-7:00 at the Habitat for Humanity office, 508 West Buford Street Gaffney SC 29341 Start Time: 7:30am Gaffney City Hall Race timing and course will close at 8:45am $25 by 11/07/2014 (includes t-shirt) $30 late registration and Day of Race (t-shirts if available) Packet Pick-Up and Registration: Saturday, November 22nd from 6:30-7:00am in front of Gaffney City Hall Awards: M/F overall 1st, 2nd, and age division ribbons Special Awards for BEST HOLIDAY COSTUME! Kids Welcome! Registration Form: Race use Only ___ Name:______________________________________________________________________________________________ Address:_____________________________________________________________________________________________ City______________________ State______ Zip___________________ Phone:__________________Age (as of 11/22/2014)_______________ *All children must be accompanied by an adult Male____________________ Female___________________ Shirt size: Adult S M L (XXL $3 additional) Youth XS S M L Emergency Contact Name and Phone____________________________________________ In consideration of your accepting me/my child’s registration, I hereby for myself, my child, my heirs, executors and administrators waive and release any and all rights and claims for damages I or my child may have against Habitat for Humanity of Cherokee County, Cherokee County, all sponsors, volunteers, timers, contributors, including all representatives who are in any way connected with this event/program. Further, in the event of any injury, I hereby give permission and consent to authorize such First Aid and/or medical and/or hospital care or treatment as deemed appropriate. In addition , I am fully aware of the provisions covered by the fee for this event and I understand that if any emergency arises , any and all additional expenses incurred must be borne or assumed by the participants. Organizers of the race have permission to take photographs of my child or myself while participating in any of the events. I understand that these photographs may be used through public relations through and not limited to brochures, flyers, newspapers, television, and electronic transmissions such as the web or internet. Signature: Participant/Parent/Guardian (if minor): ___________________________________________________________ Contact Information: Candace Waters Habitat for Humanity Of Cherokee County 864-488-1444 [email protected]