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Get Tda 5k Tuscaloosa Form

7th Annual TDA 5K Run/Walk Saturday 22 February 2014 1st TTC Grand Prix Event of Eat Right Tuscaloosa Talk to your RD Today. Registration Starts - 7 10 am Race Time - 8 00 am Rain Snow or Shine Prizes UA Recreation Field on Campus Drive - outdoor pool parking lot Overall and age group Male Female - Top 3 Masters Grandmasters - 1st only Door Prizes food drinks nutrition table Registration fee non-refundable 16 postmarked by 2/10/2014 20 after 2/11/2014 or on race day Make checks payable to TDA Foundation Inc* First 125 registrants guaranteed a t-shirt while supplies last for on-site registration Mail to Amy Baker-Parton 1109 Kings Mountain Rd. Tuscaloosa AL 35406 For more info contact Amy Parton Race Director 292-6766 or aparton ches. ua*edu Student Dietetic Association TDA s purpose is to promote optimal health and nutrition status of the population through quality dietetic education research and community service. www. facebook. com/BAMA. RDs Benefits the Good Samaritan Clinic and TDA Foundation Scholarships Name Address City State Zip Phone Email Sex M F Age on 2/22/14 DOB T-Shirt Size first 125 entries guaranteed S M L XL / I individually and/or as parent and/or guardian of the named minor for and in consideration of acceptance of this entry in the aforementioned event do hereby release remise waive and forever discharge the Sponsors TDA TDAF TTC and all other supporting groups of this said racing event together with all of their officers agents officials and employees from any and all liability claims demands actions or cause of action whatsoever arising out of or related to any injury illness loss or damage including death relating to participation in the aforesaid event. I further state I am in proper physical condition to participate in this event. Signature Parent or Guardian must sign for entrants under 18 Date. Registration Starts - 7 10 am Race Time - 8 00 am Rain Snow or Shine Prizes UA Recreation Field on Campus Drive - outdoor pool parking lot Overall and age group Male Female - Top 3 Masters Grandmasters - 1st only Door Prizes food drinks nutrition table Registration fee non-refundable 16 postmarked by 2/10/2014 20 after 2/11/2014 or on race day Make checks payable to TDA Foundation Inc* First 125 registrants guaranteed a t-shirt while supplies last for on-site registration Mail to Amy Baker-Parton 1109 Kings Mountain Rd. Tuscaloosa AL 35406 For more info contact Amy Parton Race Director 292-6766 or aparton ches. ua*edu Student Dietetic Association TDA s purpose is to promote optimal health and nutrition status of the population through quality dietetic education research and community service. Tuscaloosa AL 35406 For more info contact Amy Parton Race Director 292-6766 or aparton ches. ua*edu Student Dietetic Association TDA s purpose is to promote optimal health and nutrition status of the population through quality dietetic education research and community service. www. facebook. com/BAMA. RDs Benefits the Good Samaritan Clinic and TDA Foundation Scholarships Name Address City State Zip Phone Email Sex M F Age on 2/22/14 DOB T-Shirt Size first 125 entries guaranteed S M L XL / I individually and/or as parent and/or guardian of the named minor for and in consideration of acceptance of this entry in the aforementioned event do hereby release remise waive and forever discharge the Sponsors TDA TDAF TTC and all other supporting groups of this said racing event together with all of their officers agents officials and employees from any and all liability claims demands actions or cause of action whatsoever arising out of or related to any injury illness loss or damage including death relating to participation in the aforesaid event.

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