8:00 am Summer's End 5K Run 8:05 am Back To School Youth Mile Run. Come celebrate the end of summer in downtown Bristol. Start your Labor Day with us before your afternoon cookout. Electronic B-tag timing & finish line management by We Run Events. Very nice dri-fit performance shirt for 5K! Cotton shirt for Kid's Run and 2 Mile Walk. Packet pickup and late registration (Mountain Sports, 1021 Commonwealth Ave) - 3-5 pm Sunday, Sep 1st, 6:30-7:30 am Monday, Sep 2nd, Anderson Park, Bristol, TN. |
| Pre-registration: (ends 8/31/13) |
$25 Summer's End 5K Run ($5 discount if register on-line) $15 Back To School Youth Mile (14 under) $15 Summer's End 2 Mile Walk | | Regular | Registration: |
$25 Summer's End 5K Run $15 Back to School Youth Mile (14 under) $15 Summer's End 2 Mile Walk | |
| Make checks payable to: Bristol Morning Rotary Charities, Inc. | ||||
| Mail this form to: Bristol Morning Rotary Charities Inc. PO Box 66 Bristol, VA 24203 | ||||
| To register for 2 Mile Walk, please write "2 Mile Walk" on Team Line. |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Eric Reecher, 423-956-1957, eric.reecher@gmail.com | Summer's End 5K Male & Female Awards: Overall (top 3) Top Masters Top GrandMasters Age Groups (top 3) 14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+ | Back to School Youth Mile Male & Female Awards: Top Overall Age Groups (top 3) 8 under, 9-10, 11-12, 13-14 |
| LAST NAME__________________________________ FIRST NAME_________________________ M.I._______ |
SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________ |
ADDRESS___________________________________________________________________________ |
CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________ |
RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________ |
TEAM NAME____________________________ |
*** CIRCLE EVENT: Summer's End 5K | Back to School Youth Mile |
*** CIRCLE SHIRT SIZE: YM, YL, SM, MD, LG, XL, XXL |
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IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |