American Fallen Warrior Memorial Foundation
Memorial Run/Team Relay/Walk for the Fallen
“All Gave Some, We Gave All”
Saturday, May 20, 2017, Armed Forces Day
5K Memorial Run - 7:00 am 10K Team Relay - 8:30 am
5K “Walk for the Fallen” -10:00 am
Memorial Balloon Launch – 10:45 am Lunch – 11:00 am
Stephen F. Austin Park, 2400 Crockett Street, Amarillo, TX
#### Online Registration –getmeregistered.com ####
Awards: 5K Top Male/Female, 19 and under, 20-30, 31-40, 41-50, 51-60, 61 and up
Awards: Top Male & Female - 2-Person Team Relay and 4-Person Team Relay
5K-$40 *10K Team Relay-$75 (2-person team) * $125 (4-person team) * 5K Walk for Fallen-$25
RACE DAY REGISTRATION at Stephen F. Austin Park
Packet pickup at Get Fit Running Specialty Store, 1911 S. Georgia - Friday, May 19, 4:30 pm -6 pm
Circle one: Individual 2-Person Relay Team 4-Person Relay Team Walk for Fallen
PLEASE PRINT - Registration Information: (For teams, please use one address)
Name ______M – F ____ DOB ___/___/___ Age____ Shirt Size ____
Name ______M – F ____ DOB ___/___/___ Age____ Shirt Size ____
Name ______M – F ____ DOB ___/___/___ Age____ Shirt Size ____
Name ______M – F ____ DOB ___/___/___ Age____ Shirt Size ____
Address______City/State/Zip______Email______
Send Registration to:
American Fallen Warrior Memorial Foundation-TX
PO Box 7606, Amarillo, TX 79116
RELEASE OF LIABILITY must be signed and returned! See next page
RELEASE OF LIABILITY
In return for its agreement to accept this entry form, I hereby release the American Fallen Warrior Memorial
Foundation, its officers, directors, agents, representatives, and the volunteers, sponsors, promoters, and all other
persons associated with the American Fallen Warrior Memorial Foundation from liability for any injuries received
by me (or if the participant is a minor, then I release them from liability for injuries received by the minor for whom
I am responsible) during participation in this sporting event, which includes all post-race activities through the end
of the awards ceremony and the conclusion of the event. I recognize that participation in the event sponsored or in
any way supported by the American Fallen Warrior Memorial Foundation exposes me and/or my family members(s)
to risks including, but not limited to: running-related injury, traffic, and other risks including cracks in the roadway or
sidewalk, uneven running surfaces, slick conditions, other participants in the race, weather-related hazards, and
post-race accidents of any type.
Notwithstanding these potential risks and possibly other unanticipated risks, all of
which cannot be listed, I HEREBY ASSUME FULL RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY
OCCUR DURING MY (OR MY FAMILY MEMBER’S) ATTENDANCE AT OR PARTICIPATION IN THIS EVENT.
PLEASE PRINT:
NAME: ______
Signature: ______Date:______
(Parent’s signature for entrant under 18)
Signature: ______Date:______
(Parent’s signature for entrant under 18)
Signature: ______Date:______
(Parent’s signature for entrant under 18)
Signature: ______Date:______
(Parent’s signature for entrant under 18)
For questions please call/email:
Blake Siebrecht, 806-673-6779, email
Catharina Siebrecht, 806-672-4635, email at
Jack Barnes, 806-681-1418, email
For more information: