2018 Entry Form 03 11 18 .pdf

File information


Original filename: 2018 Entry Form - 03-11-18.pdf
Title: 2018 Entry Form
Author: Kent 05-2014

This PDF 1.4 document has been generated by pdfFactory www.pdffactory.com / pdfFactory 5.10 (Windows NT x64 10.00), and has been sent on pdf-archive.com on 11/03/2018 at 18:53, from IP address 99.123.x.x. The current document download page has been viewed 485 times.
File size: 216 KB (1 page).
Privacy: public file


Download original PDF file


2018 Entry Form - 03-11-18.pdf (PDF, 216 KB)


Share on social networks



Link to this file download page



Document preview


ENTRY FORM

DATE:

Saturday, May 5, 2018

TIME:

Registration 7:30a / Race at 9:00a

LOCATION:

Alcoa High School / Springbrook Park

ENTRY FEE:

$20 per person | $10 for students | $0 for sponsors

INFORMATION: Contact Chris Brewster at 865-684-1660 (charles.brewster@cornerstoneofrecovery.com)
or Kent Stephens at 865-660-9463 (kent@wivk.com)

Participant Name:
Group Name:
Address:
City, State and Zip:
Telephone:
Age on Race Day:
Gender:
T-Shirt Size:

Male

Female

Youth: S M L XL | Adult: S M L XL XXL

DISCLAIMER: My signature confirms that, as a participant in the Cornerstone Race for Recovery, I agree to hold harmless
Cornerstone of Recovery, Inc., Cornerstone of Recovery Alumni Association, Cokesbury United Methodist Church and
Susannah’s House in the event of any injury that results from my participation in this event.

Signature of Participant:

Date:

Signature of parent of legal
guardian if participant is
less than 18 years of age:

Date:

Email or fax this form to:
Kent Stephens
kstephens@agaii.com
865-717-6638 (Fax)

Mail to: Chris Brewster
Cornerstone of Recovery
1214 Topside Road
Louisville, TN 37777


Document preview 2018 Entry Form - 03-11-18.pdf - page 1/1


Related documents


2018 entry form 03 11 18
2018 flyer 03 11 18
2018 sponsorship opportunities 03 11 18
final 2016 preschooler s stroll application 1
termsconditions 2010 2
christmas apc donation payout

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file 2018 Entry Form - 03-11-18.pdf