8:15 a.m. - 3 Mile Power Walk 8:20 a.m. - 1 Mile Fun Walk Come to Appalachia, Virgina and try this surprislingly flat, fast course. This race will be chip timed. While you are there, enjoy the Railroad Days Festival or try the new bike trail to Big Stone Gap. |
| Pre-registration: (ends 8/5/2022) |
$14 for 5k $10 for Power Walk or Fun Mile | | Regular | Registration: |
$15 for 5K $11 for Power Walk or Fun Mile | |
| SFTC King & Queen race: SFTC members receive preregistration discount | ||||
| Make checks payable to: Appalachia Railroad Days 5K | ||||
| Mail this form to: Box 302 Appalachia, VA 24216 | ||||
| Dorr prizes will be refund of 5 entry fees. Shirts guaranteed to all particpants |
| Headphones are NOT permitted on the course | Strollers are NOT permitted on the course |
| For more info contact Randy Blair 1-276-455-9621 or 1-276-565-0406 | Appalachia Railroad Days 5K Male & Female Awards: Top Overall Top Masters Top GrandMasters Age Groups (top 3) ...9,10-14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65-69,70-74,75... | 3 Mile Power Walk Male & Female Awards: Top Overall No age group awards |
| 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: Appalachia Railroad Days 5K | 3 Mile Power Walk |
*** 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) |