This challenging 6.2-mile race boasts more than a 2,000-foot elevation gain as it climbs from downtown Norton to the High Knob summit. |
| Pre-registration: (ends 9/28/2022) |
$30 (Jan. 1-April 30) $35 (May 1-July 31) $40 (August 1-Sept. 28) $45 (Race Day) Make checks payable to: Virginia Organizing (TCC Hellbender 10K in memo line)
| Mail this form to: P.O. Box 2732, Wise, VA 24293
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| Ninth annual race that climbs more than 2,000 feet from downtown Norton to 4,200-foot High Knob summit. Part of High Knob Triple Crown series (www.highknobtriplecrown.wix.com/hktc) |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact highknobhellbender@gmail.com | High Knob Hellbender 10K Male & Female Awards: Overall (top 3) Top Masters Age Groups (top 3) 29 & Under; 30-39; 40-49; 50-59; 60 and over |
| 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 |
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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) |