Same day registration starts at 6:ooPM This is our 10th Annual Lighting Up 5K benefiting the Union High School Cross Country team. The race starts and finishes at Bullitt Park in Big Stone Gap, VA. This is a fun/fast out and back course that is perfect for everyone. Refreshments, music, door prizes, and glow sticks - what else do you need? Medals will be given to the overall male and female finishers and medals will be given to the top three in each age group. |
| Pre-registration: (ends 9/9/2022) |
18.00 | | Regular | Registration: |
18.00 | |
| Make checks payable to: Union High School Cross Country | ||||
| Mail this form to: Union High School Attn: Cross Country 2 Champions Ave Big Stone Gap, VA 24219 | ||||
| Only pre-registered runners are guaranteed a shirt. |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Emil Schenck 276-523-5449 eschenck@wisek12.org | Lighting Up 5K Male & Female Awards: Overall (top 3) Masters (top 3) Age Groups (top 3) -10, 11-14, 15-20, 21-30, 31-40, 41-50, 51-60, 61+ |
| 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) |