Race Registraion
Please Select Category:
By May 13 After May 13 On Race Day
Individual (not affiliated with TCTC)
 $20 $25 $30
5K -- TCTC employee, retiree, student or alumnus
 $15 $20 $25
5K -- Team of 10 or more (see note below) *
$15 $20 $25
One Mile Fun Run/Walk (Individual or Team)
$10 $12 $15
* Teams of 10 or more must use this form and submit applications together to receive discounted rate.
(TCTC Teams must register by May 15 in order to be considered for the TCTC Team Spirit Award.)
If Registering with a Team:  
Team Name		 If Registering with a Team:  

Organization or Company Name
 
*Required field
*Name:
*Address:
*State: Zip: Email:
*Home Phone: Cell:
Gender: M or F Birthdate (MM/DD/YYYY): Age on Race Day:
PLEASE CHOOSE YOUR RACE CATEGORY: Open Masters (age 40-99)
*EMERGENCY CONTACT NAME AND PHONE:
How did you find out about this event?
 

Select Shirt Size(Sizes not guaranteed for registrations received after May 13)

Youth Small Youth Medium Youth Large Youth XL

Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL

Photo/Video Usage: I grant full permission to sponsors and/or agents authorized by them to use any photographs, video, motion pictures, recordings, or any other record of this event for any purpose. Waiver: I know that running a road race is a potentially hazardous activity I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risk and responsibility associated with running this event including but not limited to falls, contact with other participants, the effects of weather, traffic, and the condition of the road. All such risks being known by me, I release and forever discharge Tri-County Technical College, its agents, staff, sponsors, and representatives from and against any and all liability and responsibility for any injury, illness, or sickness which may result from participation in the Tri-County Technical College Road Race and do hereby further agree to indemnify and hold harmless Tri-County Technical College, its agents, sponsors, and employees from any and all liability in such regard.


Signature                                                                                                       Date


Signature of parent or guardian required if participant is under age 18                        Date

Registration Questions: Call Sue Bladzik at 864-260-6707 or email sbladzik@tctc.edu

Before submitting, please print all form(s) and send forms/payment(s) to: TCTC Road Race, Attn: Sue Bladzik, Anderson Campus, 511 Michelin Blvd., Anderson, SC 29625.
Please make checks payable to: TCTC Foundation. Registrations are non-refundable.
Click on Complete when finished filling out registration form:       

OFFICE USE ONLY

Entered on SRP List:                  Paid:                   Date:                    Initial: