VHCC's Catch the Big Bad Wolf 5k & 1 Mile Little Piggy Fun Run


Virginia Highlands Community College, Abingdon, VA

10/20/2012


8am - Race Day Registration
9am - 1 Mile Kids Run
9:30am - 5k
Note: Course map has been revised! (10/15/12)

Pre-registration:
(ends 10/13/2012)
Only preregistered 5k participants guaranteed a shirt! | Regular
| Registration:
$10-1 mile
$15-5k price for VHCC Family - alumni, employees, students, future students
$20-5k price for everyone else
$2 discount to STFC members.
All proceeds benefit the Dr. Deborah C. Clear Scholarship.
Make checks payable to: VHCC Foundation and please put 'CSSA 5k' in the memo section
Mail this form to: Candace McClure
Virginia Highlands Community College
PO Box 828
Abingdon, VA 24212
***CIRCLE EVENT***________5K RUN/WALK________1MILE KIDS FUN RUN

Kids mile participants will receive a piggy bank.
Special awards given out to first 3 to catch Big Bad Wolf. If they can!
Door Prizes!

Headphones are permitted on the course | Strollers are NOT permitted on the course
For more info contact
Adam Parks
aparks@vhcc.edu
276-701-3169
VHCC's Catch the Big Bad Wolf 5k & 1 MIle Little Piggy Fun Run
Male & Female Awards:

Overall (top 3)
Masters (top 3)
GrandMasters (top 3)

Age Groups (top 3)
...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

VHCC's Catch the Big Bad Wolf 5k & 1 Mile Little Piggy Fun 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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