Fit Farmer 12K Trail Run


Flag Rock Area Trails, Norton, VA

5/19/2018


8 a.m. Race Day Registration and Check-In
10: a.m. Race Start

Pre-registration:
(ends 4/1/2018)
Feb. 1-28: $20
March 1-31: $25
| Regular
| Registration:
April 1-May 19: $30
Make checks payable to: Norton Friends and Farmers Market
Mail this form to: Fit Farmer 12K Trail Run, City of Norton, C/O Katie Dunn, P.O. Box 618 Norton, VA 24273
Runners who register by April 28 are guaranteed a race shirt.
All proceeds benefit the Norton Friends and Farmers Market's Senior Supplement Nutrition Program.
See www.frat.bike for more information about the Flag Rock Area Trails system.
See
Headphones are permitted on the course | Strollers are NOT permitted on the course
For more info contact
Katie Dunn, katied@nortonva.org, (276) 679-1160
Fit Farmer 12K Trail Run
Male & Female Awards:

Overall (top 3)
Top Masters


No age group awards. All participants who cross the finish line receive a finisher award.

Fit Farmer 12K Trail Run

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, 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE.

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


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org