2 Mile Walk Course Map 4 Mile Run Course Map - Only the 4 Mile run is a K&Q race. |
| Pre-registration: (ends 9/28/2010) |
$15 - 4-Mile footrace $15 - 2-Mile racewalk $1 discount to SFTC members for 4 Miler | | Regular | Registration: |
$20 - 4-Mile footrace $20 - 2-Mile racewalk | |
| SFTC King & Queen race: SFTC members receive preregistration discount | ||||
| Make checks payable to: Erwin YMCA | ||||
| Mail this form to: AppleFestival Road Race, Nuclear Fuel Services, Inc., 1205 Bannerhill Road, Erwin, TN 37650 | ||||
| $500.00 Male/Female participant who breaks current TN State 4-Mile record. (To be eligible, must be a U.S. Citizen and a TN resident) Cash prizes awarded as follows: 4-mile run: 1st -4th place overall M/F, 2-mile walk: 1st place overall M/F |
| Headphones are NOT permitted on the course | Strollers are NOT permitted on the course |
| For more info contact Jay Poole - jmpoole@nuclearfuelservices.com | Apple Festival 4-Mile Footrace Male & Female Awards: Overall (top 4) Top Masters Top GrandMasters Age Groups (top 3) Under 10, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+ | Apple Festival 2-Mile Racewalk Male & Female Awards: Top Overall Age Groups (top 2) Under 10, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+ |
| 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: Apple Festival 4-Mile Footrace | Apple Festival 2-Mile Racewalk |
*** CIRCLE SHIRT SIZE: SM, MD, LG, XL, XXL |
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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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |
