Drug Free Bristol 5K Run/Walk


Sugar Hollow Park, 21361 Sugar Hollow Dr., Bristol, VA

6/24/2017


10:00 am. Look for a new (flatter) 5K course at Sugar Hollow Park. Race proceeds benefit the Veritas Foundation. The VERITAS Adult Drug Treatment Court seeks to reduce drug use and recidivism within the community by implementing a court-based program, that includes supervision, evaluation, treatment, and monitoring for its participants, with the goal of promoting productivity, development of potential, and a safer, healthier community.

Pre-registration:
(ends 6/17/17)
$20 | Regular
| Registration:
$25
Make checks payable to: The Veritas Foundation
Mail this form to: The Veritas Foundation
415 Cumberland St.
Bristol, VA 24201
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Margie, drug.court@bristolva.org
5K Run/Walk
Male & Female Awards:

Top Overall

Age Groups (top 3)
10 under, 11-14, 15-18, 19-30, 31-50, 51-70, 70 over
1 Mile Fun Run/Walk
Male & Female Awards:



Age Groups (top 3)
No Awards. Un-timed walk

Drug Free Bristol 5K Run/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: 5K Run/Walk | 1 Mile Fun Run/Walk

*** 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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