United Way's Halloween 5K


Myers Farm
3415 Gap Creek Road
Bulls Gap, TN 37711, Bulls Gap, TN

10/21/2017


9 a.m. - Registration
10 a.m. - 5K run/walk

Join United Way at Myers Farm in Bulls Gap, TN for a Halloween themed 5K run! Come dressed in your favorite Halloween costume! Everyone participant will receive a pumpkin and a t-shirt! Door prizes to be given and live music by P150Six! For a small fee, hayrides offered by Myers Farm and food, including hot dogs that you can roast yourself.

Pre-registration:
(ends 10/21/17)
$20 early registration | Regular
| Registration:
$25 registration fee after 5 p.m. on October 20, 2017
Make checks payable to: United Way of Greene County
Mail this form to: United Way of Greene County
115 Academy Street
Greeneville, TN 3743
Join us at Myers Farm for a Halloween themed 5K! Come dressed as your favorite Halloween character! The race will be timed. Everyone will receive a pumpkin and a t-shirt. Live music by P150Six and hayrides for people of all ages!
Headphones are permitted on the course | Strollers are NOT permitted on the course
For more info contact
Wendy Peay, 423-639-9361, uwgreene@embarqmail.com
United Way Halloween 5K
Male & Female Awards:

Top Overall

Age Groups (top 3)
...19,20-29,30-39,40-49,50-59,60-69,70...

United Way's Halloween 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: XS, SM, MD, LG, XL,

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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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