WCQR presents May The Fourth Be With You 4k


Cardinal Park (Johnson City Cardinals baseball field), Johnson City, TN

5/4/2019


This Star Wars themed race is a family friendly event with a kids "Darth Dash"(age 5-10) measuring out to .4 km. We will start the kids dash at 6:30 p.m. The 4k race will begin immediately following the conclusion of the Darth Dash. After the race, stay and hang out for the activities including a Star Wars movie, food trucks(additional charge), costume contest and more! You do not want to miss this fun event!!

Pre-registration:
(ends 05/03/2019)
4k - $25 through May 3rd
Darth Dash - $15 through May 3rd

| Regular
| Registration:
Late registration (packet pickup)
May 4th 4-6 p.m.
4k - $30, Darth Dash - $15
Make checks payable to: WCQR
Mail this form to: May The 4th Be With You
3101 Browns Mill Road, Ste. 6-182
Johnson City TN 37604
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Event Management by The Goose Chase
423-946-0519 or info@thegoosechase.org
4k
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
11-19,20-29,30-39,40-49,50-59,60-69,70+
Darth Dash
Male & Female Awards:

Overall (top 3)

Age Groups (top 3)
5-7,8-10

WCQR presents May The Fourth Be With You 4k

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 EVENT: 4k | Darth Dash

*** CIRCLE SHIRT SIZE: 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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