Run The Links 5K to Benefit the Johnson City Senior Center


Pine Oaks Golf Course, 1709 Buffalo Road, Johnson City, TN

3/22/2014


10 am. Late registration and packet pickup 4-7pm, March 21, Johnson City Senior Center, 510 Bert St. and 8-9:30am, March 22 at Pine Oaks Golf Course, 1709 Buffalo Rd. Very nice race on the Pine Oaks Golf Course in Johnson City. Net proceeds benefit Johnson City Senior Center Foundation.

Pre-registration:
(ends 3/20/14)
$20 | Regular
| Registration:
$25
Make checks payable to: Johnson City Senior Center Foundation
Mail this form to: Run The Links 5K
Johnson City Senior Center
510 Bert St.
Johnson City, TN 37601
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Jim Hunter, 423-534-8074, jim.hunter@ishnonline.com
Run The Links 5K
Male & Female Awards:

Overall (top 3)

Top Age Groups
14U, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

Run The Links 5K to Benefit the Johnson City Senior Center

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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