TCBY Run In The HIlls 10K Run and 2 Mile Walk


TCBY, Grundy Town Center
, Grundy, VA

8/13/2016


8 am. TCBY Grundy and "The Good, The Bad, and The Ugly" Relay for Life Team is putting on Grundy's first ever chip timed 10K race! The 10K will be a chip timed event coordinated by professional timing group, We Run Events, with a 6.2 mile open and closed course beginning at TCBY in The Grundy Town Center. The 2 mile walk will be untimed and begin after the 10K participants take off. All pre-registered participants are guaranteed a t-shirt. Every participant will receive a medal and overall winners and division winners will receive a plaque. $30.00 pre-register (forms can be picked up at TCBY) and you may pay online with the link posted on the event site. On site registration is available but will be $35.00, with limited t shirts available. All proceeds from the race will be donated to the American Cancer Society. Come join us!

Pre-registration:
(ends 8/11/16)
$30 - 10K and 2 Mile | Regular
| Registration:
$35 - 10K and 2 Mile
Make checks payable to: TCBY Grundy
Mail this form to: PO box 145 Grundy VA 24614
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Reece Hale, reecehale@gmail.com
10K Run
Male & Female Awards:

Top Overall

Age Groups (top 3)
12 under, 13-17, 18-24, 25-34, 35-44, 45-54, 55+
2 Mile Walk (Un-timed)
Male & Female Awards:



Age Groups (top 3)
This event is un-timed.

TCBY Run In The HIlls 10K Run and 2 Mile Walk

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 EVENT: 10K Run | 2 Mile Walk (Un-timed)

*** 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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