Pioneer 5 Miles Run


David Crockett Birthplace State Park
, Limestone, TN

12/16/2017


5 Miles 11:00 am Eastern Standard Time
Part of the Tennessee Running Tour
Start & finish are in David Crockett Birthplace State Park.
Race is management by the SFTC.
THERE WILL BE NO REFUNDS
DAY REGISTRATION WILL CLOSE @ 10:40 AM
SFTC members please bring your favorite post race snacks to share.

Pre-registration:
(ends 12/7/2017)
$22.00 (Long sleeve T-shirt)
($2.00 Discount for SFTC Members)
$10.00 (No T-shirt)
| Regular
| Registration:
$15.00 (No T-shirt)
$25.00 (With T-shirts available) (No Discount)
Day Registration will close @ 10:40 AM
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: SFTC
Mail this form to: Mr. Bob Townsend
% Pioneer 5 Miles Run
2280 Jockey Rd
Limestone, Tn 37681
NO REFUNDS WILL BE GIVEN.
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Race Director Bob Townsend
2280 Jockey Rd
Limestone, TN 37681
bobtownsend@comcast.net
(Cell) 423-525-7335
Pioneer 5 Miles
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
15 & Under, 16-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75-79,80 & Older

Pioneer 5 Miles 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 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)


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