11:00 AM (Eastern Standard Time) Roan Mountain State Park Race is management by the SFTC THERE WILL BE NO REFUNDS This certified 6.2 mile course is all road (no trail) race starting Picnic Shelter 3. |
| Pre-registration: (ends 10/28/21 for T-shirt) |
$22.00 (Long sleeve T-shirt) (No T-shirt after 10/28/21) $10.00 (No T-shirt) End 10/23/21 $15.00 (No T-shirt) 10/24/21 to 11/5/21 | | Regular | Registration: |
$20.00 (No T-shirt | |
| SFTC King & Queen race: SFTC members receive preregistration discount | ||||
| Make checks payable to: SFTC | ||||
| Mail this form to: Bob Townsend 2280 Jockey Rd Limestone, TN 37681 | ||||
| Headphones are NOT permitted on the course | Strollers are NOT permitted on the course |
| For more info contact Bob Townsend % Roan Mt 10K 2280 Jockey Rd Limestone, TN 37680 423-525-7335 bobtownsend@comcast.net State of Franklin Track Club | Roan Mountain 10K Male & Female Awards: Top Overall Age Groups (top 3) ...19,20-29,30-39,40-49,50-59,60-69,70-79,80... |
| 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |