Run For Your Buns 5k


Downtown JC, Johnson City , TN

4/23/2022


6:30 p.m. start time
Downtown JC
Benefiting Gentle Move Colon Foundation

Visit www.runforyourbuns.com for more info

Pre-registration:
(ends 4/2/2022)
$20 Now - March 1
$25 March 2 - April 20
$30 April 21-23
*Guaranteed boxers & shirt size deadline April 2
| Regular
| Registration:
$20 Now - March 1
$25 March 2 - April 20
$30 April 21-23
*Guaranteed boxers & shirt size deadline April 2
Make checks payable to: Run For Your Buns
Mail this form to: Run For Your Buns 5k
3101 Browns Mill Road
Suite 6-182
Johnson City, TN 37604
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Event Management by The Goose Chase
423-946-0519 or info@thegoosechase.org
5k
Male & Female Awards:

Overall (top 3)
Top Masters
Top GrandMasters

Age Groups (top 3)
(9 & under 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+)

Run For Your Buns 5k

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: YS, YM, YL, SM, MD, LG, XL, XXL

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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