Friday, April 30, 2021
Alan Duncan Memorial 5k glow run
Who: Both runners and walkers are encouraged to participate. Participants under age
13 should have a parent or guardian also participating in the event.
When: Friday Evening, April 30th, 2021 RAIN OR SHINE
Where: Dogwood Hills Golf Resort and Gardens, Flat Rock, AL
Time: Registration at 5:00 PM. CST Race begins at 7:15 PM.CST
- First 50 people to register receive a race shirt
- Medals given to top male and female finishers in each age division (overall winner, 12
& under, 13-19, 20-29, 30-39, 40-49, 50 & older)
-
Entry Fees: $20 *Please make checks payable to NSM JV Cheerleaders
Registration for Run/Walk
Name
_________________________________________________________________
Address: ___________________________ City _________________ State ____ Zip
Telephone: ________________________ Date of Birth ______ Age on race day ___
Email:
______________________________________________________________________
Shirt (please circle one) Adult –S M L XL 2XL 3XL Youth. S M L
I assume all risks from participating in this event and its related activities, but not limited
to falls, contact with other participants, effects of weather, including high heat, humidity,
precipitation, traffic, and the conditions of the road; all such risks being known and
appreciated by me. Having read this waiver and release and knowing these facts in
consideration of your accepting my entry fee and participation. I for myself and anyone
entitled to act on my behalf, waive and release race officials, volunteers, sponsors and
their respective affiliates, subsidiaries, employees or contractors of and from all claims,
liabilities or causes of action of any kind arising out of my participation in this event or its
related activities which I or my successors may ever have now or in the future against
any of them. This release and waiver extends to all claims of every kind and nature
whatsoever. I grant permission to all of the foregoing to use any photographs, motion
pictures, recordings, or any other record of this event for any lawful purpose.
Applications for minors will be accepted only with a parent’s signature, and all children
participating in the 5K race under the age of 13 must accompanied by an adult during
the event.
WAIVER SIGNATURE X
_______________________________________________________
(signature of parent or guardian if under age 18)
sellers name:__________________________. Sport affiliate:_____________________