Finer Miner 5K


Miners Exchange Bank
483 Front St W
Coeburn, VA next to The Marty Shopping Center, Coeburn, VA

9/3/2018


Shirt is absolutely the toughest shirt ever! Come see us in Coeburn and support Eastside Cross Country!!
7:00 a.m. Registration
8:00 a.m. 5K Run
  • Results

  • Pre-registration:
    (ends 8-20-2018)
    $20 | Regular
    | Registration:
    $25 Registration on race day is fine.
    Make checks payable to: Finer Miner 5K
    Mail this form to: Miners Exchange Bank
    483 Front Street W
    Coeburn, VA 24230
    This is the toughest road shirt ever!! (per Oscar) and
    Only pre-registered runners are guaranteed a shirt so register soon.

    Headphones are permitted on the course | Strollers are permitted on the course
    For more info contact
    Donna Salyer 276-395-3766
    or Eric Salyer 276-219-5871
    Finer Miner 5K
    Male & Female Awards:

    Overall (top 3)

    Age Groups (top 3)
    ...9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

    Finer Miner 5K

    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, 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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