2nd Annual 5K Reindeer Run and 5K Santa Stroll


First United Methodist Church
900 Spring St
Johnson City, TN
Parking available at 210 W. Maple St, Johnson City, TN

12/15/2013


Race day registration: 1:30 - 2:30 pm
Race start: 3:00 pm
After a successful first year in 2012, The Early Learning Center at First United Methodist Church is again hosting a 5K run/walk. USATF-certified Course through the historic Johnson City tree streets.

Awards will be given to the most festive male and female costumes.Children under the age of 12 can participate untimed without a fee. Please complete an entry form for them. If they would like a shirt, it may be preordered for $10. Dogs on leashes will be allowed.

Pre-registration:
(ends 11/27/2013)
$20 - 5K Run
$15 - 5K Stroll
$10 - Timed Runner Under age 12
Long sleeve Tee Shirts Guaranteed to all pre-registrants.
| Regular
| Registration:
$25 - 5K Run
$20 - 5K Stroll
$15 - Timed Runner under age 12
A tee shirt will not be guaranteed.
Race Day Registration ends at 8:30 AM.
Make checks payable to: Early Learning Center
Mail this form to: Early Learning Center
First United Methodist Church
900 Spring St
Johnson City, TN 37604
Awards will be given to the most festive male and female costumes.Children under the age of 12 can participate untimed without a fee. Please complete an entry form for them. If they would like a shirt, it may be preordered for $10. Dogs on leashes allowed
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Kathie Battista
423-926-0700
elc1986@charter.net
5K Reindeer Run
Male & Female Awards:

Top Overall

Age Groups (top 3)
...9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

2nd Annual 5K Reindeer Run and 5K Santa Stroll

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: YT, YS, YM, YL, 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)


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