Books For Bearcats 5K Run/Walk (CANCELLED 2017)


Virginia High School, 1200 Long Crescent Drive, Bristol, VA

5/7/2016


10 am. • Books for Bearcats is a reading program designed to give students access to age/grade appropriate reading material during the summer months. All participants, 12 and under, will receive medals as they cross the finish line. All participants, 12 and under, will receive books for summer reading. Tshirts for participants who register by April 22. Post race door prizes and snacks from Chick-Fil-A. All proceeds from this race will be used to purchase books for the Books For Bearcats summer reading program at Highland View Elementary in Bristol, VA.


Pre-registration:
(ends 5/5/16)
$20 | Regular
| Registration:
$25
Make checks payable to: Highland View Elementary
Mail this form to: Highland View Elementary
1405 Eads Ave.
Bristol, VA 24201
Attn: Sara DeBusk
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Sara DeBusk, sadebusk@bvps.org
5K Run/Walk
Male & Female Awards:

Top Overall

Age Groups (top 3)
10 Under, 11-19, 20-29, 30-39, 40-49, 50-59, 60+

Books For Bearcats 5K Run/Walk (CANCELLED 2017)

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: 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)


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