Blue Plum Fast 5K


Lady Of The Fountain, 203 E. Main St.
Packet pickup & late Registration: Cakebuds Bakery, 410 S. Roan St., 1-6:30 pm., Johnson City, TN

6/2/2017


6:30 pm Little Plum Half Mile
7:00 pm 5K Run/Walk
Brand new course through downtown Johnson City starting and finishing near the Lady Of The Fountain on Main St.. Should be pretty fast! Packet pickup and late registration, Friday, 6/2, 1-6:30 PM at Cakebuds Bakery, 410 S. Roan St. Also, Little Plum Half (1/2 mile) for kids 12 under. Part of the Blue Plum Festival, One of the best 2 day, outdoor, art & music festivals in the country! Dogs on leashes are welcome! Electronic B-tag timing by We Run Events.

Pre-registration:
(ends 6/1/17)
$25 5K Run/Walk
$10 Little Plum Half Mile
| Regular
| Registration:
$30 5K Run/Walk
$10 Little Plum Half Mile
Make checks payable to: Blue Plum Festival
Mail this form to: Blue Plum Festival,
325 1/2 East main St,
Johnson City, TN 37601
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Timmy Norman, blueplum5krd@gmail.com
Blue Plum Fast 5K
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
10U, 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64,65-69, 70+
Little Plum Half Mile
Male & Female Awards:



Age Groups (top 3)
12 Under only. Non-Competitive.

Blue Plum Fast 5K

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: Blue Plum Fast 5K | Little Plum Half Mile

*** 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.

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


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