Run Your Mouth 5K


Weir Dam
376 Holston View Dam Rd
Bristol, TN, Bristol, TN

8/21/2021


8:30 am. Presented by Bristol Regional Speech and Hearing. Great course starting and finishing at beautiful Weir Dam near at S. Holston Lake. Chick Fil A biscuits for post race breakfast! The course will be part road and part trail on Osceola Island. Very unique and fun event.

Pre-registration:
(ends 8/19/21)
$25 | Regular
| Registration:
$30
Make checks payable to: Bristol Regional Speech and Hearing
Mail this form to: Bristol Regional Speech and Hearing
359 Commonwealth Ave Suite 100
Bristol, VA 24201
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Elaine Rock, erock@brsh.com
Run Your Mouth 5K
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
9 & Under, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & Older
5K Walk - Untimed
Male & Female Awards:




No awards

Run Your Mouth 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 EVENT: Run Your Mouth 5K | 5K Walk - Untimed

*** CIRCLE 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.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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