Goliath at the Gorge OCR


Doe River Gorge, Hampton, TN

8/28/2022


Race Start Times: Kids 5 p.m., Max 5:30 p.m., Mini 5:45 p.m.

Packet Pickup : At Doe River Gorge from 3:30 p.m. – 5:30 p.m.

Pre-registration:
(ends 8/27/2022)
Kids
$45 June 1 - August 27

Mini
$55 June 1 - August 27

Max
$65 June 1 - August 27
| Regular
| Registration:
Kids
$50 Race Day

Mini
$60 Race Day

Max
$70 Race Day
Make checks payable to: Goliath at the Gorge
Mail this form to: 3101 Browns Mill Rd
Suite 6-182
Johnson City TN 37604
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
The Goose Chase

Awards:


Goliath at the Gorge 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 SHIRT SIZE:

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