Mountain City Mammoth 5K


Ralph Stout Park
210 S. Church St., Mountain City, TN

9/4/2021


8:00 am. Come run the very first race ever in Mountain City! This 5K Run/Walk is sponsored by various businesses and organization’s in Johnson County, TN. All money raised will be donated to three non-profits in the Mountain City area.

Pre-registration:
(ends 8/1/21)
$30 | Regular
| Registration:
$40
Make checks payable to: Mountain City Mammoth
Mail this form to: Crossfit Firsty
5500 Roan Creek
Mountain City, TN 37683
Attn: Mountain Mammoth 5K
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
mountaincitymammoth@gmail.com
Jroark515@gmail.com
Mountain City Mammoth 5K Run/Walk
Male & Female Awards:

Top Overall

Age Groups (top 3)
19 under, 20-29, 30-39, 40-49, 50-59, 60 over

Mountain City Mammoth 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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