8:00 am Duffield Daze 5K Run Flat and fast 5K course in conjunction with Duffield Daze Festival. This is a great course to get your 5K PR!! Stick around for Duffield Daze Parade, great food and crafts vendors. Electronic B-tag timing and professional finish line management by We Run Events |
| Pre-registration: (ends 8/29/12) |
$20 | | Regular | Registration: |
$25 Register at race site on Aug 31. | |
| Make checks payable to: Rye Cove Lady Eagle Basketball | ||||
| Mail this form to: Rye Cove Lady Eagle Basketball Rye Cove High School 164 Eagles Nest Lane Duffield, VA 24244 | ||||
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Kelly Hood, kelly.hood@scott.k12.va.us, 423-502-0870 Jamie Carter, jamie.carter@scott.k12.va.us Ashley Hood, ashley.hood@scott.k12.va.us | Duffield Daze 5K Run/Walk Male & Female Awards: Overall (top 3) Age Groups (top 3) 14 under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+ |
| 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, |
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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. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |