Blue Plum Fast 5K


Downtown Johnson City, Johnson City, TN

6/7/2014


9:00 am. Flat and fast course through downtown Johnson City. Part of the Blue Plum Festival, One of the best 3 day, outdoor, FREE, art & music festivals in the country! Click on the Event Website link for a printable PDF entry form. Electronic B-tag timing by We Run Events. "Dress Up For Downtown" with prizes for best dressed. Wear your gowns, tuxedos, whatever makes you stand out. Stay tuned for more info on this event.

Pre-registration:
(ends 6/5/14)
$20 by 6/5/14 | Regular
| Registration:
$25 6/6/14 and 6/7/14
Make checks payable to: Friends of Olde Downtowne
Mail this form to: Blue Plum Festival, PO Box 1823
Johnson City, TN 37605
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Shannon Lukas, blueplum5k@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, 6064,65-69, 70+

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 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)


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