Duck Island Spring Mile: Kids & Adults


Warrior's Path State Park, Kingsport, TN

5/22/2010


Qualifies for TN State Records
Saturday: Warriors Path State Park / Duck Island
8:45 warmup
9am Kids Mile / 9:30 Adult Mile
Free & low key: No awards, no shirts
IMPORTANT:There is no registration fee, but runners must sign a race waiver.
Parents must sign a waiver for children under 18. Bring completed form on race day.

Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Contact Jason & Nicole Goodman
(423)360-5348
Duck Island Spring Mile
Male & Female Awards:




There are no awards for this race.

Duck Island Spring Mile: Kids & Adults

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)_________________________________________

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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