Santa Special AniMile & 1-Mile Human Race


151 Main St., Kingsport, TN

11/22/2014


Early Packet pickup - Friday, 11/21, 5-7 pm, Chef's Pizza, 254 W. New St.
12 noon - 2:15 pm Race day registration and packet pickup, 151 Main St.
2:45 pm 1-Mile Human Race (K&Q & Kid's Festival)
2:50 pm Bank of Tennessee AniMile. (The Animile is not a K & Q race).
3:15 pm Kingsport Christmas Parade
This is the last race of the 2013 King & Queen series!

Pre-registration:
(ends 11/20/14)
$20 - thru 10pm, 11/20. | Regular
| Registration:
$25 11/21 and 11/22 (race day)
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: We Run Events
Mail this form to: We Run Events
c/o Natalie Whitlock
1548 Belmeade Dr.
Kingsport, TN 37664
Long-sleeve shirts for EVERYONE. Race net proceeds donated to Sullivan County Humane Society. To enter AniMile, use "Team Name" category (You & your pet).
DON'T FORGET THE - Doggie costume contest!!
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Natalie Whitlock
423-963-1045
natalie@eastman.com
Human Race (Open & Kids)
Male & Female Awards:

Overall (top 3)

Age Groups (top 3)
Top 3 Kids (14 Under), Top 3 Open (15 Over), Top 3 age groups - 8 Under, 9-10, 11-12, 13-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60 Over
AniMile
Male & Female Awards:

Overall (top 3)

Age Groups (top 3)
Top 5, plus top 3 large breed, top 3 small breed (please circle small breed or large breed)

Santa Special AniMile & 1-Mile Human Race

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: Human Race (Open & Kids) | AniMile

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

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.

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


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org