Gamecock Strut 5K

Sulphur Springs School, Jonesborough, TN

5/11/2013

9:00 am. 2nd annual race to benefit Sulphur Springs School. Beautiful course through Sulphur Springs community. Professional race management and electronic B-tag timing by We Run Events.

Pre-registration: (ends 5/9/13)	$20 by 5/9/13	\| Regular \| Registration:	$25 5/10/13 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 26th.

Headphones are permitted on the course | Strollers are permitted on the course

For more info contact
Matthew Combs, 423-753-1140, combsm@wcde.org. If you are running for a Washington County Elementary School or Washington County High School, please enter your school in the team line.

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)

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