Gamecock Strut 5K


Sulphur Springs School, Jonesborough, TN

5/10/2014


9:00 am. 3rd annual race to benefit Sulphur Springs School. Beautiful course through Sulphur Springs community. Professional race management by We Run Events.

Pre-registration:
(ends 5/8/14)
$20 by 5/8/14 | Regular
| Registration:
$25 5/9/14 and race day.
Make checks payable to: Sulphur Springs School 5K
Mail this form to: 1518 Gray Sulphur Springs Rd., Jonesborough, TN 37659
Shirts and sizes guaranteed to those who register by April 25th.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Matthew Combs, 423-753-1140, combsm@wcde.org.
Gamecock Strut 5K
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
14U, 15-19, 20-29, 30-39, 40-49, 50-59, 60+

Gamecock Strut 5K

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 SHIRT SIZE: YS, YM, YL, 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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