Mountain Fork Half Marathon (Postponed from June due to COVID-19 outbreak)


Norton, Virginia, Norton, VA

9/20/2020


9 a.m.

| Regular
| Registration:
$50 (March 25-May 31)
$55 (June 1-July 31)
$60 (August 1-September 16)
$65 (Race Day)
Make checks payable to: City of Norton
Mail this form to: City of Norton, C/O Katie Dunn, P.O. Box 618, Norton, VA 24273
Runners that pre-register by September 16 will be guaranteed a race shirt.
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Katie Dunn: katied@nortonva.org or (276) 679-1160
Mountain Fork Half Marathon
Male & Female Awards:

Overall (top 3)
Top Masters

Age Groups (top 3)
29 & Under; 30-39; 40-49; 50-59; and 60 and over

Mountain Fork Half Marathon (Postponed from June due to COVID-19 outbreak)

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. 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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