Pre-race packet pickup and late registration Friday, May 27th at Bill Gatton Honda in Bristol till 6:00 pm. Race day packet pickup and late registration Saturday, May 29th at Bristol Train Station till 7:30 am. On-line registration closes at 8:00 pm Thursday, May 27!! |
| Pre-registration: (ends 5/26/2010) |
$20 thru May 26. On-line registration closes at 7:00 pm. on Thursday, May 26. | | Regular | Registration: |
$25 on Friday, May 27, and race day, May 28. Only pre-registered runners guaranteed t-shirts. | |
| Make checks payable to: Bill Gatton Honda | ||||
| Mail this form to: Bill Gatton Honda 5K, c/o Trace Bratton, 2130 Volunteer Pkwy, Bristol, TN 37620 | ||||
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact Trace Bratton, tmb0360@yahoo.com, 423-340-9850 | 5K Male & Female Awards: Overall (top 3) Top Masters Top GrandMasters Age Groups (top 3) 14 under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-59, 60+ |
| 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, |
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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) |