Wampler's Insurance Falcon Fit 5k


Abingdon High School, Abingdon, VA

5/7/2022


The 5k run/walk will begin at 9 AM on the Abingdon High School practice track then runs on the campus adjoining property and ends on Abingdon's stadium track. FUN cross country course for all ages! Proceeds benefit Abingdon High School's Strength and Conditioning Program. It will benefit over 200 athletes that utilize the weight room daily.
Very nice comfort style t-shirts will be guaranteed to those that pre-register!



Pre-registration:
(ends 4/29/2022)		 $20 -- $5 discount for Washington County students
Those registered by April 30th will be guaranteed a race shirt in your size. 		| Regular
| Registration:		 $25 -- $5 discount to Washington County students
May register the day of race but not guaranteed a race shirt.
Make checks payable to: AHS (S&C)
Mail this form to: Chase Nunley attn: 5k registration
705 Thompson Dr, Abingdon, VA 24210
Medals will be given for first, second and third place in each age group in addition to overall winners.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Chase Nunley
ccnunley@wcs.k12.va.us
Falcon Fit 5k
Male & Female Awards:
Top Overall
Top Masters
Top GrandMasters
Top Sen.GrMasters

Age Groups (top 3)
0-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60 and up

Wampler's Insurance Falcon Fit 5k

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: 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)

This entry form was generated with the SFTC Calendar Utility at www.runtricities.org