4 PM start with our famous Smores Extravaganza after the race at The Smokehouse BBQ (1941 Milligan Hwy.) This is the ultimate Smores Bar, which includes music and fun. In addition, Smokehouse BBQ Restaurant is offering a special meal deal $10 for a BBQ Sandwich, side & drink. Shuttle service provided to and from the start and finish. |
| Pre-registration: (ends 11/3/2022) |
$25 through Feb 28 $30 Mar 1 - June 30 $35 July 1 - Nov. 3 Kids 6 & under -$15(t-shirt,bib,medal(with bib) - not timed, no award | | Regular | Registration: |
Late Registration $40 Nov. 4th & 5th at packet pickup Nov. 4, 4-7 p.m. at Century 21 Legacy (414 Ashe St) Nov. 5, 2-3:30 p.m. at Local Motion (start line) | |
| Make checks payable to: The Smores Run JC | ||||
| Mail this form to: The Smores Run 3101 Browns Mill Road, Suite 6- #182 Johnson City, TN 37604 | ||||
| CIRCLE HERE FOR 3XL SIZE OPTION CIRCLE WAVE START by your mile time Wave 1(5:01 - 9) - WAVE 2(9:01-11) - WAVE 3(11:01-13) WAVE 4(13:01-16) - WAVE 5(16:01-20) - WAVE 6(>20:01) |
| Headphones are permitted on the course | Strollers are permitted on the course |
| For more info contact The Goose Chase (423)946-0519 info@thegoosechase.org | 3.5 MILE Male & Female Awards: Overall (top 3) Top Masters Top GrandMasters Age Groups (top 3) 9 & Under, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & Older |
| 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: YM, YL, SM, MD, LG, XL, XXL |
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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) |