Run For Our Veterans 5k


Johnson City Veterans Memorial Park, Johnson City, TN

5/25/2018


Dedicated on 11-11-11 at 11 a.m., the Johnson City-Washington County Veterans’ Memorial is a living tribute that honors the past, present, and future military service and sacrifice of the men and women who have and will continue to bear the cost of our freedom. All proceeds for this race will go to the Johnson City-Washington County Veterans’ Memorial Foundation to help with the costs of Phase III.

Start time 6:30pm

Pre-registration:
(ends 05/24/2018)
Students 18 & under $20 through May 24th
Adults $25 through May 24th
| Regular
| Registration:
Late Registration May 25th (Packet Pickup)
Students $25
Adults $30
Make checks payable to: Johnson City Washington County Veterans Memorial Foundation
Mail this form to: Run For Our Veterans 5k
3101 Browns Mill Rd
Suite 6-182
Johnson City TN 37604
Packet Pickup Friday May 25th 4:30pm-6:15pm
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
The Goose Chase
Karen or Ashley
info@thegoosechase.org
423.946.0519
5k
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
...9,10-19,20-29,30-39,40-49,50-59,60-69,70...

Run For Our Veterans 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: 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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