Service Above Self 5K, 10K, and Kid's Fun Mile


Creeper Trail Head, Green Springs Rd., Abingdon, VA

7/22/2017


8:00 am Kid's Mile. 8:30 am 5K/10K. Presented by the Rotary Club of Washington County. Race will take place on the Creeper Trail in Abingdon. Race proceeds benefit community projects within Washington County. Electronic B-tag timing and professional race management by We Run Events. Kid’s Mile is un-timed. Packet pickup and late registration 7am – 8am.

Pre-registration:
(ends 7/21/17)
$25 5K or 10K
$5 Kid's Fun Mile (no shirt)
| Regular
| Registration:
$30 5K or 10K
$5 Kid's Fun Mile (no shirt)
Make checks payable to: WCRC Trail Run
Mail this form to: WCRC Trail Run
POB 2602
Abingdon, VA 24212
If signing up for the Kid's Fun Mile, please write "Kid's Mile" on the form.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Scott Sikes, escottsikes@gmail.com
5K Run
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60 over
10K Run
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60 over

Service Above Self 5K, 10K, and Kid's Fun Mile

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 | 10K Run

*** 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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