5K Sign Up Form

Turkey Trot 5K Sign Up Form

Hosted by Harrison Chapel Cemetery Association
Race Date: Saturday, November 28, 2026
Location: Macedonia Baptist Church, 8816 Dooley Ferry Rd, Texarkana, AR 71854
Start Time: 8:00 AM
Participant Information

One registration form and waiver per participant
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Virtual or In Person
Pledged Distance
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number
Format: (000) 000-0000.
Relationship
Waiver & Release
I hereby waive all liability against the Harrison Chapel Cemetery Turkey Trot 5K, HCCA and their staff or representatives and volunteers regarding my participation in the Harrison Chapel Cemetery Turkey Trot. I declare that I am physically fit to participate in this event. I have reviewed all the guidelines. I hereby grant full permission to any and all the foregoing to use any photographs, recordings, or any other record of this event for legitimate purpose.
Participant's Signature
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)
Date Signed

MonthDayYear
Date
Payment Information
Until October 31, 2026: 1 Free 2026 T-shirt per individual participant registration
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In Person Adult Registration
$25.00



In Person Child (18 or under) Registration
Free



Virtual Adult Registration
$20.00



2026 Turkey Trot T-shirt
Free SizeQuantity



Total

$0.00
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Turkey Trot 5K Sign Up Form

Participant Information

Emergency Contact Details

Waiver & Release

Payment Information

Until October 31, 2026: 1 Free 2026 T-shirt per individual participant registration*

Until October 31, 2026: 1 Free 2026 T-shirt per individual participant registration