5K Run for St. Anne School


Virginia Creeper Trail in Abingdon, Virginia, Abingdon , VA

5/13/2017


9:00 a.m.
Hosted by St Anne School. Returning this year to the VIRGINIA CREEPER TRAIL

Pre-registration:
(ends 05/05/17)
$20 ($1 discount for SFTC members) | Regular
| Registration:
$25
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: St. Anne School PTO
Mail this form to: St. Anne School
300 Euclid Avenue
Bristol, VA 24201
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Wendy Cheers at St. Anne School
276-669-0048
5K Run for St. Anne School
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
...9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...
One mile walk - NO AWARDS
Male & Female Awards:




...10,11-15,16-20,21-25,26-30,31-35,36-40,41-45,46-50,51-55,56-60,60...

5K Run for St. Anne School

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 for St. Anne School | One mile walk - NO AWARDS

*** CIRCLE SHIRT SIZE: YS, YM, YL, SM, MD, LG, XL,

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