CASA Road Race


Crockett Spring Park (200 Crockett Street), Rogersville, TN

5/30/2015


Registration 7:00 AM in Crockett Spring Park
Loop course through historic downtown Rogersville
CASA 8K Run 8:00 AM (USATF Certified Course TN08020MS) 8K Course Map
CASA Mile Run 9:15 AM (USATF Certified Course TN08021MS) Mile Course Map
Skelton Law Racing Series
SFTC King & Queen Competition (8K only)
SFTC Adult Mile Series Competition, Kids Festival of Miles
Timing and race management by Skelton Law Racing

Pre-registration:
(ends 5/23/2015)
$20
Run both 8K & Mile for $25
Running club members receive $5 discount if pre-register
| Regular
| Registration:
$30
Both 8K & Mile $40
No Discounts
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: CASA for Kids, Inc.
Mail this form to: CASA Road Race, Law Office of Mark Skelton, 121 South Depot Street, Rogersville, TN 37857
Awards & Picnic in Crockett Spring Park | Picnic catered by Pig & Chick Restaurant | 8K course closes at 1 hr 15 mins

Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Mark Skelton
423-345-2335(home)
423-272-4812(office)
markskelton@markskelton.com
8K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75-79,80...
Mile
Male & Female Awards:

Top Overall

Age Groups (top 3)
6 & under, 7-8, 9-10, 11-12, 13-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80 & above

CASA Road Race

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: 8K | Mile

*** CIRCLE SHIRT SIZE: YL, 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. 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)


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