Shamrock 4 Miler Presented by CrestPoint Health, Johnston Memorial Hospital, and the Town of Abingdon


Farmer's Market, Remsburg Rd., Abingdon, VA

3/13/2015


7:00 pm 4 Miler, 7:10 Leprechaun Walk. Friday St. Patty’s Day race with post-race beer garden (bring your IDs) and live music sponsored by Abingdon Music Experience. Electronic B-tag timing and professional race management by We Run Events. The Shamrock 4 Miler benefits the Johnston Memorial Hospital Foundation.

Pre-registration:
(ends 3/12/15)
By 3/12/15:
$25 4 Mile Run, $15 1.3 Mile Walk, $15 ages 12 Under
| Regular
| Registration:
3/13/15:
$30 4 mile Run, $20 1.3 Mile Walk, $15 Ages 12 under
Packet pickup and late registration 3-6:30pm, 3/14/14 Farmer's Market, Remsburg Rd..
Make checks payable to: JMH Foundation
Mail this form to: Johnston Memorial Hospital, ATTN: JMH Foundation, 16000 Johnston Memorial Drive, Abingdon, VA 24211
Please note: Pre-registered runners/walkers will have first priority on shirts. We can not make guarantees on shirt sizes. Limited quantities of some sizes.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Susan Abel, abelse@msha.com, 276-258-4560
Shamrock 4 Miler
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
14U, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-69, 70+
Leprechaun Walk (1+ miles)
Male & Female Awards:



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

Shamrock 4 Miler Presented by CrestPoint Health, Johnston Memorial Hospital, and the Town of Abingdon

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: Shamrock 4 Miler | Leprechaun Walk (1+ miles)

*** CIRCLE SHIRT SIZE: XS, 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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