Club Links 5K


Johnson City Country Club, Johnson City, TN

5/1/2014


7:00 PM. 2nd Annual Thursday evening race at the beautiful Johnson City Country Club. The race will be run on the JCCC golf course. Stay after the race for free beer, great food and entertainment at the club. Race proceeds benefit the local Juvenile Diabetes Research Foundation. Electronic timing and professional race management by We Run Events. The Club Links 5K is the second race in the CrestPoint Crusaders Series.

Pre-registration:
(ends 4/30/14)
$20 until 4/24/14 | Regular
| Registration:
$25 after 4/24/14
Make checks payable to: Club Links 5K
Mail this form to: Club Links 5K
813 Ava Dr.
Kingsport, TN 37663
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Chuck Minton, csm3@charter.net
Centennial Links 5K
Male & Female Awards:

Overall (top 3)
Top Masters

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

Club Links 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)


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