31st Annual Appalachia Railroad Days 5K


Appalachia Firehall, Appalachia, VA, Appalachica, VA

8/2/2014


8 a.m. 1 Mile Fun Run/Walk
8:15 a.m. 5K

Pre-registration:
(ends 07/29/14)
$14 5K
$10 1 Mile Fun Run/Walk
| Regular
| Registration:
$15 5K
$11 1 Mile Run Run/Walk
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: Appalachia Railroad Days 5K Road Race
Mail this form to: P.O. Box 302
Appalachia, VA 24216
Race starts and finishes at the Appalachia Fire Department.
Only pre-registered runners are guaranteed a shirt!
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Randy Blair (race director)
(276) 565-0406
Pam Hutchinson
(276) 565-0821
Kimberly Teglas
(276) 565-3213
31st Annual Appalachia Railroad Days 5K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
...9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75...
1 Mile Fun Run/Walk
Male & Female Awards:

Top Overall


Top female and top male each receive an award. Each finisher will receive a ribbon.

31st Annual Appalachia Railroad Days 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: 31st Annual Appalachia Railroad Days 5K | 1 Mile Fun Run/Walk

*** 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)


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