Bigfoot Scramble 5 Miles


Standing Stone State Part
10 Miles North of Livingston, Tn, Livingston, TN

11/11/2017


5 Miles 11:00 (Central Standard Time)
Part of the Tennessee State Parks Running Tour
Standing Stone State Park

Pre-registration:
(ends 11/02/17)
$22.00 with T-Shirt
$10.00 No T-shirt
| Regular
| Registration:
Race Day- $15.00 No T-Shirt
Only Pre-Registered Runners will receive a T-Shirt
Make checks payable to: Upper Cumberland Road Runners Club
Mail this form to: Lynn Burnett
Frostbile Running Club
811 Peach Dr.
Livingston, TN 38570
(931) 823-6124
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Upper Cunberland Road Runners Club
Lynn Burnett
811 Peach Dr.
Livingston, TN 38570
(931) 823-6124
liv2run@live.com
BigFoot Scramble 5 Miles
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75-79,80

Bigfoot Scramble 5 Miles

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)


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