Joggin' For The Noggin' 5K Run/Walk to Benefit The Crumley House


Crumley House, 300 Urbana Rd., Limestone, TN

3/25/2017


10:00 am. 5K Run/Walk hosted by Crumley House in Limestone. Beautiful and scenic course starting and finishing at Crumley House. Very nice shirt and post-race pancake brunch! Professional race management and electronic timing by We Run Events. The Crumley House is a rehabilitation center to help ease the burden and provide services to both children and adults who fall victim to traumatic brain injury.

Pre-registration:
(ends 3/18/17)
$25 | Regular
| Registration:
$30
Packet pickup and late registration
- Friday, March 25, 4-7 pm, Cakebuds Bakery, 410 S. Roan St. Johnson City
- Saturday, March 26, until 9:30am, Crumley House, 300 Urbana Road, Limestone
Make checks payable to: The Crumley House
Mail this form to: The Crumley House, 300 Urbana Road, Limestone, TN 37681
Post-race pancake breakfast! Proceeds benefit Crumley House.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Larry Kyte, larry@crumleyhouse.com, 423-483-8764
Joggin' For The Noggin' 5K Run
Male & Female Awards:

Top Overall

Age Groups (top 3)
12 under, 13-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 over
5K Walk (Untimed)
Male & Female Awards:



Age Groups (top 3)
Untimed walk, no awards.

Joggin' For The Noggin' 5K Run/Walk to Benefit The Crumley House

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 EVENT: Joggin' For The Noggin' 5K Run | 5K Walk (Untimed)

*** 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)


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