Run Your Mouth 5K


Weir Dam
376 Holston View Dam Rd
Bristol, TN, Bristol, TN

8/21/2021


8:30 am. Presented by Bristol Regional Speech and Hearing. Great course starting and finishing at beautiful Weir Dam near at S. Holston Lake. The course will be part road and part trail on Osceola Island. Very unique and fun event. Stay tuned for course map and other details.

Pre-registration:
(ends 8/19/21)
$25 | Regular
| Registration:
$30
Make checks payable to: Bristol Regional Speech and Hearing
Mail this form to: Bristol Regional Speech and Hearing
359 Commonwealth Ave Suite 100
Bristol, VA 24201
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Elaine Rock, erock@brsh.com
Run Your Mouth 5K
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
9 & Under, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & Older
5K Walk - Untimed
Male & Female Awards:




No awards

Run Your Mouth 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 EVENT: Run Your Mouth 5K | 5K Walk - Untimed

*** 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)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org