Bunny Hop 5K & Kid's Dash


Founders Park, 225 Commerce St, Johnson City, TN

3/31/2018


8:30 am. Please join us and hop across the finish line in Downtown Johnson City. This 5K run and kids dash, health and wellness event, is sponsored by State of Franklin Healthcare Associates and LIFEWTR, powered by Blue Plum Organization. Also, kid's dash following the 5K. The 5K course is certified, and is the same as the Blue Plum 5K, so this will be a great preview for those planning to run that race. Nice course with a few hills mid-race, and very fast finish!

Pre-registration:
(ends 3/28/18)
5K: $20
Kid's Dash (12 under): Free! (All kids get Bunny ears!)
| Regular
| Registration:
5K: $25
Kid's Dash (12 under): Free! (All kids get Bunny ears!)
Make checks payable to: Blue Plum Organization
Mail this form to: Blue Plum Organization
PO Box 1823
JC. TN. 37605-1823
Attn: Bunny Hop 5K
T-shirts for 5K only. All kids in the Kid's Dash receive free bunny ears!
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
blueplumdirector@gmail.com
5K Run/Walk
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
10 under, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 over
Kids Dash
Male & Female Awards:



Age Groups (top 3)
Non-competitive dash for kids

Bunny Hop 5K & Kid's Dash

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 | Kids Dash

*** 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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