Clinch River Days Festival 5.5K Trail Challenge Run


Oxbow Lake/Sugar Hill Trail (End of Bush Drive, off Route 58-A behind large shell building), Saint Paul, VA

5/30/2015


5:15 p.m. Registration Opens
6:00 p.m. Race & Walk Begin

Pre-registration:
(ends 5/24/2015)
$12 | Regular
| Registration:
$15
Make checks payable to: Clinch River Days Festival
Mail this form to: c/o Joyce Kilgore, P.O. Box 127, Saint Paul, VA 24283
Prizes To Be Announced
Grandmasters, Masters and Youngmasters Trophies
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Joyce Kilgore 276-971-6464
yellolab@msn.com
Clinch River Days 5.5K Trail Challenge Run
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
...19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...
Clinch River Days 5.5K Walk
Male & Female Awards:




No Age Groups

Clinch River Days Festival 5.5K Trail Challenge Run

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: Clinch River Days 5.5K Trail Challenge Run | Clinch River Days 5.5K Walk

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL,

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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