2022 RFTS Online Registration *** ONE ENTRY PER PERSON*** Please enable JavaScript in your browser to complete this form.Name *Age (on 5/7/2022) *Gender *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBirthday *mm/dd/yyyyPhone # *Email *Are you part of a team? *NoYesTeam Name or Leader *Please check what race you will be participating in *VirtualPhantomIf you are participating in the 5K or the Fun Run in person, you will need to register the day of the race 5/7/22 at the Gilmer Scout Hut. Registration ends at 8:00 AMHow will you be paying for your registration? *PayPalCheck or Cash If you are paying by check or cash, you can mail your registration fee to Gilmer CLC | P.O. Box 471 | Ellijay, GA 30540 or drop it off at our Main Campus at 183 Bobcat Trl. Ellijay, GA 30540. Make sure to put "5K" in the memo section of your check.Entry FeePrice: $ 30.00After 4/22/22Entry Fee- Team MemberPrice: $ 23.0010 or more team T-shirt size *ASXLXXLWe currently out of Medium and LargeHow did you hear about the CLC's Run for the Son? *Participant Signature: *Clear SignatureLIABILITY RELEASE: I, the undersigned, intending to be legally bound, and in consideration of my application for entry into the above-referenced event, hereby for myself, my heirs, executors, administrators, legal representatives, successors and assigns, assume all risks and damages against the Run for the Son 5K, Fun Run, Tot Trot, officers, agents and employees, and all volunteers participating in this event, and agree to hold harmless and indemnify those parties from any claims of any nature arising out of my participation in this event. I acknowledge the inherent dangers of participating in a road race and fully assume the risks associated with same. I further verify that I am physically fit for participation in this event and that I have no condition that would preclude such participation. My execution of this agreement releases the said officers, agents and employees from liability for any act or omission, which causes injury or damage to my person or property related to their organization and operation of this event, and my participation therein. Furthermore, I hereby grant full permission to use my name and likeness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.Signature of Parent (if under 18)Clear SignatureTotal$ 0.00***OFFICE USE***PayPalCheck # __________________CashRegistration Payment***OFFICE USE***Bib NumberSubmit