CROOKED RIVER HALF MARATHON


The Lodge at Crooked River, Hiltons, VA

10/15/2017


Sunday, 3:00pm The Lodge at Crooked River
AP Carter Highway between Hiltons & Mendota
Skelton Law Racing Series
No race day registration!
Taco Bar by Barberitos of Kingsport!
USATF Certified Course VA16003MS
SFTC King & Queen Competition and Long Distance Series
Scenic out & back course on rural paved roads along Holston River
Timing and race management by Skelton Law Racing

Pre-registration:
(ends 9/30/2017)
$30.00
SFTC members receive $5 discount if pre-register
| Regular
| Registration:
$50.00
No Discounts!
No Race Day Registration!
SFTC King & Queen race: SFTC members receive preregistration discount
Counts towards SFTC Long Distance Series
Make checks payable to: Skelton Law Racing
Mail this form to: Crooked River Half Marathon, Law Office of Mark Skelton, 121 South Depot Street, Rogersville, TN 37857
Course closes at 3 hours 15 minutes! Only pre-registered runners guaranteed shirts!
For additional dinner tickets, must pre-register $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
423.272.4812 (office)
423.345.2335 (home)
markskelton@markskelton.com
Crooked River Half Marathon
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
...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...

CROOKED RIVER HALF MARATHON

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