5000 Meter Track Race (FREE)


Dobyns- Bennett high school track
Kingsport, TN, 1 Tribe Way,

10/25/2018


Have you ever wondered how fast your 5k time is on the track? This FREE race is your chance to find out. Sponsored by the State of Franklin Track Club, this 5,000 meter race will be held at the Dobyns-Bennett High School's new track.
5:00 PM Registration (Skip this by registering on Run Sign Up for Free by clicking on Event Website)
6:00PM Race Begins

Pre-registration:
(ends 10/25/2018)
Free Registration on Run Sign Up
Registration at the race at 5 PM
Mail this form to: Skip the Registration line on race day and pre-Register on Run Sign up for FREE
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
5,000 Meter Race
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
...19,20-29,30-39,40-49,50-59,60-69,70-79,80...

5000 Meter Track Race (FREE)

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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

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


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