Mile Glo'Run (12 & under) - 7:00 p.m.
Glo'Run 5K - 7:30 p.m.
Registration opens at 6:00 p.m. in the gymnasium.
Glo' & Costume Contest will be held in the cafeteria at 6:45 p.m. Trophies to be awarded during the 5K awards ceremony. There will be a Kid's Movie Time following the kids run in the cafeteria so parents can run the 5K.
(ends September 11, 2015)
|$15 for Students 12 & under|
$25 for Adults
| | Regular
|$20 for Students 12 & under|
$30 for Adults
|Make checks payable to: Cedar Bluff Elementary|
|Mail this form to: 1089 Cedar Valley Drive|
Cedar Bluff, VA 24609
|Experience the craziness of running through strobe lights and black lights while sporting your favorite storybook/movie character costume, glowing and wearing your swag. Participant perks: glow in the dark shirts, glow in the dark bracelet/necklace, free |
|Headphones are NOT permitted on the course | Strollers are permitted on the course|
|For more info contact|
Charity McDaniel (276) 963-5765
|Glo' Worm 5K Run/Walk|
Male & Female Awards:
Overall (top 3)
Age Groups (top 3)
6 & under, 7-8, 9-10, 11-12, 13-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60+
Male & Female Awards:
Fun Run! Race is open to students 12 & under. No Fee! Runners may purchase a t-shirt for $10.00 Race starts at 7:00 p.m. After race students may report to the cafeteria for
|LAST NAME__________________________________ FIRST NAME_________________________ M.I._______|
SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________
CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________
RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________
*** CIRCLE EVENT: Glo' Worm 5K Run/Walk | Mile Glo'Run
*** 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. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.
SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)