No late or race day registration!
Race entries must be postmarked by March 14!
Skelton Law Racing Series
Full breakfast buffet by Amis Mill Eatery!
USATF Certified Course TN14020MS
SFTC King & Queen Competition
Scenic out & back course on rural paved roads
Start & finish overlooking Big Creek Falls at Amis Dam
Awards ceremony 10:00am at Amis Mill Pavilion
Timing and race management by Skelton Law Racing
Running club members receive $5 discount if pre-register
| | Regular
|No Late or Race Day Registration!|
|SFTC King & Queen race: SFTC members receive preregistration discount|
|Make checks payable to: Skelton Law Racing|
|Mail this form to: Amis Mill 10K, Law Office of Mark Skelton, 121 South Depot Street, Rogersville, TN 37857|
|Course closes at 1 hour 30 minutes!|
For meal planning, race entry must be postmarked by March 14!
For additional buffet tickets, submit guest name & $10.00 per guest with race entry.
|Headphones are NOT permitted on the course | Strollers are NOT permitted on the course|
|For more info contact|
Race Director Mark Skelton
|Amis Mill 10K|
Male & Female Awards:
Age Groups (top 3)
|LAST NAME__________________________________ FIRST NAME_________________________ M.I._______|
SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________
CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________
RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________
*** CIRCLE SHIRT SIZE: 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.
SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)