Covered Bridge 5K Run/3K Walk


Parking and registration at City Hall parking lot, Hattie Avenue, between Sycamore and Riverside., Elizabethton, TN

6/14/2014


8:00am 5K Run and 3K Walk. Pretty flat so should be great course of a new PR. Slightly different starting locations for the 5K and 3K but the starts will be coordinated to begin at 8:00 am. Both races will finish at the same location just after crossing through the historic Covered Bridge. All proceeds benefit Sycamore Shoals Hospital Foundation. Both the 5K Run and 3K Walk will be timed. Electronic B-tag timing and professional race management by We Run Events. Shirts guaranteed for those pre-registered by 6/6/14. Shirts as available after 6/6/14. Packet pickup and late registration: Fri, Jun 13, 5-7pm, Sycamore Shoals Hospital, 1501 W Elk Ave, Elizabethton, Sat, Jun 14, 6:30-7:30am, City Hall Parking lot, Hattie Ave

Pre-registration:
(ends 6/6/14)
$20 until 6/6/14. T-shirts guaranteed for those who register by 6/6. Those who register after 6/6 will be as supplies last. | Regular
| Registration:
$25 after 6/6/14 through race day.
Make checks payable to: Sycamore Shoals Hospital Foundation
Mail this form to: Sycamore Shoals Hospital, Attn Sharon Sheppard
1501 West Elk Avenue
Elizabethton, TN 37643
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
sheppardsf@msha.com, 423-542-1338
5K Run
Male & Female Awards:

Top Overall

Age Groups (top 3)
14 under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65+
3K Walk
Male & Female Awards:

Top Overall

Age Groups (top 3)
10 under, 11-19, 20-29, 30-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75+

Covered Bridge 5K Run/3K 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: 5K Run | 3K Walk

*** 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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