Lungs and Legs 5k run/walk


James Quillen VA Johnson City campus, Johnson City, TN

10/20/2018


8:00am - last minute registration
9:00am - race begins
Register by October 14 to be guaranteed a T shirt.

This is a race to benefit the Tennessee Society of Respiratory Care (TSRC). Come run or walk through the beautiful VA Hospital campus and fill your lungs with the cool fall air! This race does not use timing chips. We hope you can join us.

| Regular
| Registration:
$25
Make checks payable to: TSRC (Tennessee Society for Respiratory Care)
Mail this form to: 111 Gray Rd Jonesborough, TN 37659
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Darin Brandt darinbrandt11@gmail.com
Lungs and Legs 5k run/walk
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
This race is to benefit the Tennessee Society for Respiratory Care (TSRC). This race is not time chipped. Enjoy a great run/walk on the beautiful VA hospital campus in Johnson City.

Lungs and Legs 5k 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: 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.

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


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