The Sixth Annual Rosmari Pleasure Memorial 5K Walk/Run
A Race to End Relationship Violence
Third Street & G.E. Patterson to the National Civil Rights Museum
On Site Registration begins at 8:00 a.m. Race promptly at 9:00 a.m.
Print and mail this completed form and registration fee to:
The Sixth Annual Rosmari Pleasure Memorial 5K Walk/Run
2768 Colony Park Drive
Memphis, Tennessee 38118
OR registration forms can be faxed to 901-791-0378
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Race Hotline 901-791-0377
Or Toll Free 866-254-LIFE
Make checks payable to: Sisters 4 Life-The Rosmari Pleasure Memorial 5K Walk/Run
Entry Fees:
$15.00 Early registration deadline 5:00p.m.
$12.50 Per person for teams of 10 or more.
$13.00 MRTC Members
$18.00 Day of Registration
REGISTRATION FORM
Please Print Legibly
Name_________________________________________ Address______________________________________
Email________________________________________
City_____________________State_________Zip_____________Phone_________________________
Gender__________Age________MRTC#________________Other Affiliation____________________
T-shirt L____ XL____ XXL_____ (Please check one. Add $2 for 2XL shirts. Only the first 300 Registration are guaranteed official T-Shirt and bag)
ASSUMPTION OF RISK AND RELEASE FROM LIABILITY:
In consideration of the acceptance of my entry, I the undersigned, individually, intending to be legally bound,
hereby for myself, my heirs, executors, and administrators waive and release any and all claims for damages I
may have against this race Sisters4Life 5K Memorial Run, it’s sponsors, officials, its beneficiaries, any and all
representatives and successors, and assigns for all injuries, loss, or death suffered by me in this event, that is one
of endurance, and that the terrain on the road and trails and/or climatic conditions can pose a health risk.
I attest and verify that I am physically fit and have trained for this event.
________________________________Signed(Parent if under 18) Date_______________________
I am unable to participate but would like to make a tax deductible donation of $___________________
Call AWay office at (901)791-0377 to register via Debit or Credit cards
