Lighting UP 5K Race/Run/Walk


Bullitt Park- Big Stone Gap, VA, Big Stone Gap, VA

9/15/2018


September 15, 2018
Race starts at 7:45 P.M.
Registration starts at 6:00 P.M.
Registration: $18
This is our 6th Annual Lighting Up 5K benefiting our Union High Cross Country Team. Race starts and finishes at Bullitt Park In Big Stone Gap, VA. This is a fun/fast out and back course that is perfect for everyone. Refreshments and music will be set up at the finish line.
Trophies will be given to the overall male and female and medals for top three in all age groups: -10,11-20,21-30,31-40,41-50,51-60,60+
Pre-registration ends on 09/07/2018. Only pre-registered runners are guaranteed a shirt!!!

Pre-registration:
(ends 9/7/2018)
$18 | Regular
| Registration:
$18
Make checks payable to: Union High School Cross Country
Mail this form to: Union Primary School
Attn: Coach Mark Castle
2945 2nd Ave E
Big Stone Gap, VA 24219


Trophies for overall Male and Female
Medals for top 3 in age group ---10, 11-20, 21-30, 31-40, 41-50, 51-60, 60+
Only preregistered runners are guaranteed a shirt!


Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
lightingup5k@gmail.com
Lighting UP 5K Race/Run/Walk
Male & Female Awards:




… --10, 11-20, 21-30, 31-40, 41-50, 51-60, 60+

Lighting UP 5K Race/Run/Walk

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: YS, 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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