Achin' For The Bacon 5K River Run


Mountain Inn & Suites, 2002 Temple Hill Rd., Erwin, TN

5/5/2018


9:00 am. New time, same great course! All ACHIN’ for the BACON participants will receive a race t-shirt and a BACON & PANCAKE breakfast after the race. A portion of the proceeds will benefit CASA of Northeast Tennessee, (Court Appointed Special Advocates) is a non-profit organization that exists to advocate for the best interest of abused and neglected children in juvenile court. Electronic tag timing and professional race management from We Run Events.

Pre-registration:
(ends 5/3/18)
$25 Achin' For The Bacon 5K | Regular
| Registration:
$30 Achin' For The Bacon 5K
Make checks payable to: Unicoi County Chamber of Commerce
Mail this form to: Unicoi County Chamber of Commerce
P.O. Box 713
Erwin, TN 37650
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Amanda Delp, amanda@unicoicounty.org
Achin' For The Bacon 5K
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
14U, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Achin' For The Bacon 5K River Run

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 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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