17th Annual ~ The Varmint 1/2 Marathon & 5K Run

-COURSE MAP-
Burkes Garden Community Center
Burkes Garden,VA
6/12/2010
6:00 a.m. - 13.1 Walk
8:00 a.m. - 13.1 Run
8:00 a.m. - 5K Run
11:00 - 1 mile Fun Run (Approx. Time)
SFTC Long Distance Series
Masters(40+)/Grandmasters(50+) Awards for Varmint
Pre-registration:
(ends June 4, 2010)		 $20 - 13.1 Run
$15 - 5K Run
Free - Fun Run		 | Regular
| Registration:		 $25 13.1 Run
$20 5K Run
King/Queen race: SFTC members receive prereg. discount
Only preregistered runners are guaranteed a shirt!
$1.00 Discount to SFTC members.
Original "Sheep" trophies for The Varmint!
And Overall 5K Winners!
(Trophies to 5K)
Mail this form to:
The Varmint
P.O. Box 285
Tazewell, VA 24651
Make checks payable to
The Varmint
For more info contact
Charity McDaniel
(276) 979-8044
cmcdaniel@tazewell.k12.va.us 		The Varmint - 13.1 miles
Male & Female Awards:
Overall (top 3)
Top Masters

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+		The Varmint 5K Run
Male & Female Awards:
Top Overall

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+
17th Annual ~ The Varmint 1/2 Marathon & 5K Run

LAST NAME___________________________ FIRST NAME________________________ M.I.______

SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY______ PHONE (_____)_____-_______

ADDRESS_________________________________________________________________________

CITY________________________________________________ STATE______ ZIP______________

E-MAIL___________________________________________________________________________

RACE DAY EMERGENCY CONTACT (NAME AND PHONE)___________________________________

__________________________________________________________________________________

CIRCLE EVENT: The Varmint - 13.1 miles | The Varmint 5K Run 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. DUE TO INSURANCE REGULATIONS, STROLLERS AND 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