Sullivan County Sheriff's Office Hot Pursuit 5K & 2 Mile Walk


Sullivan County Sheriff's Office, 140 Blountville Bypass, Blountville, TN, Blountville, TN

8/16/2014


8:30am-5K Run
8:40am-2 Mile Walk



Pre-registration:
(ends 8/11/2014)
$15-for Sullivan County employees and all first responders
$20-all others
Only those pre-registered are guaranteed a t-shirt.
***Note***Size 2X and 3X shirts are available upon request but will cost an additional $2.
| Regular
| Registration:
Race Day Registration-$25
Make checks payable to: Friends of the Sullivan County Sheriff's Office
Mail this form to: ATTN: Leslie Earhart
Sullivan County Sheriff's Office
P.O. Box 589
Blountville, TN 37617
Race day registration begins at 7am and ends at 8am in the parking lot of the SCSO
***If you plan to bring your dog along for the 2 Mile Walk please make a note of that on the registration form along with the name of your pet. ***Proof of vaccinations
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Leslie Earhart (423)279-6042

Timing and results by SFTC. If you would like to volunteer to help, please contact Matthew Studholme at sheddingcat@comcast.net or call (276) 591-9242.
Sullivan County Sheriff's Office Hot Pursuit 5K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...
Sullivan County Sheriff's Office Hot Pursuit 2 Mile Walk
Male & Female Awards:

Overall (top 2)

Age Groups (top 3)
...19,20-29,30-39,40-49,50-59,60...

Sullivan County Sheriff's Office Hot Pursuit 5K & 2 Mile Walk

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: Sullivan County Sheriff's Office Hot Pursuit 5K | Sullivan County Sheriff's Office Hot Pursuit 2 Mile Walk

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL,

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