Roan Mountain 10K


Roan Mountain State Park, Roan Mountain, TN

11/6/2021


Part of the Tennessee Running Tour (43th Year)
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...

Roan Mountain 10K

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,

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