Friday Night Lights 5K


TA Dugger Junior High School, Elizabethton, TN

8/2/2019


8:00 pm. Friday evening race. Start/Finish TA Dugger Junior High School. Benefit the TA Dugger Cyclone Football Team! Stay after the race for a block party with DJ, food trucks etc. Show your pride and wear your favorite sports team or jersey.

Pre-registration:
(ends 8/1/19)
$25
$20 18 under
| Regular
| Registration:
$30
$25 18 under
Make checks payable to: Cyclone Touchdown Club
Mail this form to: Po Box 1762
Elizabethton, Tn 37643
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Lisa Baker, lisabaker85@yahoo.com
Friday Night Lights 5K Run/Walk
Male & Female Awards:

Top Overall
Top Masters

Age Groups (top 3)
10 under, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 over

Friday Night Lights 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: 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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