Emory and Henry Turkey Trot 5K


King Center
12228 Itta Bena Road
Emory,VA 24327, 12228 Itta Benna Road,Emory,VA, VA

11/22/2018


10:00am-Emory and Henry Turkey Trot 5K

Pre-registration: $15-Children Under 12yrs
$20-Children over 12yrs and Adults
| Regular
| Registration:
$20-Children Under 12yrs
$25-Children over 12yrs and Adults
Make checks payable to: Emory and Henry College
Mail this form to: Emory and Henry Athletics
Track and Cross Country
King Center
P.O BOX 947
Emory,VA 24327
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
David Cheromei
Emory and Henry College
Track and Cross Country
434-258-4908
dcheromei@ehc.edu
Emory and Henry Turkey Trout 5K
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters
Top Sen.GrMasters


...12,13-22,23-32,33-42,43-52,53-62,60...

Emory and Henry Turkey Trot 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)_________________________________________

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