13th Annual Race for Jordan
5K Run/Walk
Saturday, May 7th, 2016 at 8:00 a.m.
Cordell Hull Dam, Carthage, TN
Registration begins at 6:30 RAIN OR SHINE
Jordan Cage Hackett, son of Stephen and Karen Hackett, was born June 7, 2002 with a heart defect known as Hypoplastic Left Heart Syndrome. He passed away on October 14th, 2002 following his second open-heart surgery.
2015 in Review
$15,000 to the Ronald McDonald House
$15,000 to Vanderbilt Children's Hospital
$2000 in local scholarships
Donation to Smith Co. Family Resource Office
Monetary donations given to families with children enduring lengthy hospital stays
***Runners, walkers and strollers are welcome. ***Water stations provided.
***Course has a few dips and rises.
1st, 2nd, and 3rd place medals in each category (male & female) & in the stroller/wheelchair division.
1st, 2nd, and 3rd place plaques given to overall male and female winners.
Thank you for supporting the Jordan Hackett Foundation by registering for the race. We hope to see you there!
Visit www.jordanhackettfoundation.org.
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Name ______Age _____ Male or Female
Address ______
______
In consideration of being allowed to participate in this event, I, for myself, executors, administrators and child (if signing as a parent), do hereby release and promise not to sue the hosts, sponsors, or any cooperating agencies or employees for any claim or injury that may result from my participation in this event. I know that these events are potentially dangerous, and I have full knowledge of all risks involved. I am physically fit and sufficiently trained to participate in the Race for Jordan.
Signature ______
Parent/Guardian (if under 18)______
T-shirt size XXL ___ XL ___ L ____ M ___ S ___
Youth 14/16 ___ Youth 10/12 ___ Youth 6/8 ___
Toddler shirts are $10. 4T ___ 3T ___ 2T ___
ENTRY FEE: $20.00 T-shirts reserved for those who register by April 30th.
Please list names participating in the Fun Run.
Name:______Name:______Name:______
Checks to The Jordan Hackett Foundation. Mail form and payment to:
P.O. Box 45 Carthage, TN 37030
Kids' (10 & under) 1 Mile Fun Run following the 5K Race. All participants will receive a medal!