7th annual Christopher Todd Richardson Memorial 10k


Va Creeper Trail, Abingdon, VA

8/9/2014


5pm- REGISTRATION AND PACKET PICK UP
6pm- RACE START
Come Join us for the 7th CTR 10k! Fun evening race! Great Prizes and Swag! Awesome family event! King and Queen Race
Run for a great Cause! all entry fees goes directly toward CTR Scholarship

Pre-registration:
(ends 8/2/2014)
$20- 10k
$10- 2 mile memorial non competitive walk
| Regular
| Registration:
$25- 10k
$15- 2 mile memorial non Competitive walk
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: Christopher Todd Memorial Scholarship
Mail this form to: 15191 Big Knob
Bristol, Va 24202
only pre-registered runners are guaranteed a shirt. Discount for SFTC
members in the King and Queen series
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Jenny Nichols- RD
text or call 276-619-1489
email jendenichols@mac.com subject heading CTR 10k
Christopher Todd Richardson Memorial 10k
Male & Female Awards:

Overall (top 3)
Masters (top 3)
GrandMasters (top 3)

Age Groups (top 3)
...19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

7th annual Christopher Todd Richardson Memorial 10k

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,

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)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org