Bristol Half & Half to benefit American Cancer Society (Half Marathon/2 person relay)


Virginia High School Track
1200 Long Crescent Drive, Bristol, VA

4/8/2017


April 7-5pm-7pm Pasta dinner, Early packet pick up & registration, Bristol Train Station, 101 Martin Luther King Jr. Blvd., Bristol, VA
April 8-6am-7:30am packet pick up & registration Virginia High School, 1200 Long Crescent Dr.
Electronic B tag timing & professional race mgmt by We Run Events. Run in 2 states for 1 great cause.
Run from Virginia High School track to Tennessee High School Stone Castle!
Volunteers are needed to assist as course marshalls. Volunteer in honor of someone you know that has battled cancer ! If interested, please contact SStout@electro-mechanical.com

Pre-registration:
(ends 4/6/2017)
$45 thru March 15 individual $25 each relay runner
$55 thru April 6 individual $30 each relay runner
| Regular
| Registration:
$60 April 8 & 9 individual or $30 each relay runner
Counts towards SFTC Long Distance Series
Make checks payable to: Electro-Mechanical Corporation
Mail this form to: Electro-Mechanical Corporation
1 Goodson Dr.
Bristol, VA 24201
Relay runner please enter team name. Individuals can run 1st leg of 2 person relay. Cancer survivors please write CANCER SURVIVOR on your entry form.

Please let us know if you are a cancer survivor.
Headphones are permitted on the course | Strollers are NOT permitted on the course
For more info contact
Mike Stollings, mike.stollings@electro-mechanical.com
Half & Half Marathon-Individual
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
19 & under, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+
Half & Half Relay
Male & Female Awards:




Top 3 Female Team, Male Team, Co-ed Team

Bristol Half & Half to benefit American Cancer Society (Half Marathon/2 person relay)

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)_________________________________________

TEAM NAME____________________________

*** CIRCLE EVENT: Half & Half Marathon-Individual | Half & Half Relay

*** 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)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org