The Arc & The Field of Doom OCR


Fender's Farm (Hwy 107), Jonesborough, TN

8/13/2022


Where – Fender’s Farm (254 TN-107, Jonesborough)

When – August 13, 2022

Kids race 6 p.m. start time

2 mile OCR 6:30 p.m. start time

Packet Pickup – 4:30 p.m. – 6:15 p.m.

**Kids race is ages 6-9. 2 mile OCR is age 10+

Pre-registration:
(ends 8/12/2022)
2 mile
$45 June
$50 July
$55 August

Kids
$20 May-June
$25 July-August
| Regular
| Registration:
2 mile - $60 August 13(race day)
kids - $30 Aug 13(race day)
Make checks payable to: The Arc Washington County
Mail this form to: 3101 Browns Mill Rd
Suite 6-182
Johnson City TN 37604
Post race meal - All registered participants receive one (1) free meal. If you would like to purchase a meal($10), email us at info@thegosoechase.org

Circle here for 3x size shirts
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
info@thegoosechase.org
2 mile
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Kids
Male & Female Awards:

Overall (top 3)


Top 3 overall boy & girl

The Arc & The Field of Doom OCR

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: 2 mile | Kids

*** CIRCLE SHIRT SIZE: YM, 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

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


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