Mustache Dache


JRH Brewing
458 W Walnut St
Johnson City, TN 37604, Johnson City, TN

11/12/2016


The Mustache Dache is the nation's premier mustache themed running series! Men, women and children are all invited to embrace their inner Mario or Luigi and participate in this slightly irreverent 5k event Taking Place in or around the month of November, the national series helps the Movember Foundation, a global charity committed to men living happier, healthier, longer lives. All participants receive a t-shirt and mustache finisher's medal, plus access to the post race festivities, with photo booth, costume contest, food and plenty more. This race, organized by The Goose Chase, will have a 4pm start time.

Pre-registration:
(ends 11/06/16)
$30 Early Dedicated Mo Runner
$40 Late Mo Runner (race week)
| Regular
| Registration:
$30 Early Dedicated Mo Runner
$40 Late Mo Runner (race week)
Make checks payable to: The Goose Chase
Mail this form to: The Goose Chase
3101 Browns Mill Rd Suite 6 #182
Johnson City, TN 37604
National Charity - Our 2016 national charity, Movember, aims to forever change the face of men's health through the power of the mustache, by raising awareness and funds for prostate cancer, testicular cancer initiatives, and men's health. In year
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
info@thegoosechase.org
Ashley (423)341-4632
Mustache Dache 5k
Male & Female Awards:

Overall (top 3)


Individual Best Costume, Team Best Costume, Individual Best Mustache, Team Best Mustache, Best Team Spirit, top 3 fastest finishers in Male/Female age groups, with age groups as follows: No Mustache Growers (12 & under), Angst-Filled (13-17), Mature (18-3

Mustache Dache

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, 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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