SATURDAY, MAY 4 @ THORNAPPLE COVENANT CHURCH

Race starts at 9am, please arrive at 8:30 so you are ready for the start time. 

Join us for the TSM 5K! Help support Thornapple Student Ministries’ summer trips, service projects and future retreats.

The TSM 5K is a fun opportunity to get out and get moving while doing some good along the way. It is not meant to be an ultra-marathon environment and will not qualify you for the Hawaii Ironman. But it will be a great event that you can run, jog, walk or jazzercize your way from start to finish!


TSM 5K REGISTRATION FORM & LIABILITY RELEASE

Join us for the TSM 5K on May 4 at 9:00am at Thornapple Covenant Church (new location this year)! Funds raised will go to support Thornapple Student Ministries’ High School Camp Week and Twin Cities Mission Trip, and Middle School Chicago Mission Trip.

Registration/entry fee: $40 (run or walk), $20 for those 18 and younger.

Location Information: Thornapple Covenant Church (6595 Cascade Road SE, Grand Rapids, MI 49546).

Waiver and Release
I know that running and walking is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the TSM 5K, the city of Ada, MI, and the Thornapple Covenant Church, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

I am a/an (required):
Student - 18 and younger ($20 registration fee)Adult - Over 18 ($40 registration fee)

Birthdate (required):

Address (Street, City, State, Zip):

Phone number:

Gender:
MaleFemale

Emergency Contact Name:

Emergency Contact Phone Number

T-shirt size:
SMLXLXXL

Race type:
RunWalk

Payment type:
Cash/check in advance at ThornappleCash/check in on day of raceCredit card via PayPal link below (after you click Register Me)

Funds to benefit which student:

I acknowledge having read the waiver and liability release listed above. (required)
Yes

 


 

Pay registration fee(s) via credit card using PayPal:


Registration Type