Two Lakes Run (7 Miles)


Montgomery Bell State Park, Dickson, TN

2/23/2019


Part of the Tennessee Running Tour (40th Year)
11:00 am (Central Standard Time)
Montgomery Bell State Park

Pre-registration:
(ends 02/14/2019)
$22.00 with T-shirt
$10.00 No T-shirt
| Regular
| Registration:
$15.00 No T-shirt
Make checks payable to: Frostbite Running Club
Mail this form to: Angela Redden
Frostbite Running Club
125 Old Pond Lane
Dickson, TN 37055
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Angela Redden
125 Old Pond Lane
Dickson, TN 37055
reddenangela@gmail.com
931-622-1843
Reg2un.com
Two Lakes Trail Run (7.6 Mi)
Male & Female Awards:

Overall (top 3)
Masters (top 3)

Age Groups (top 3)
10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70..

Two Lakes Run (7 Miles)

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)_________________________________________

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL,

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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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