Join us for the 15th annual Haunted Half Marathon Half/Relay 7:30 a.m. start time (13.1 miles) Monster Mile 8 a.m. start time (1 mile) |
| Pre-registration: (ends 10/27/2023) |
Please read prices in order as follows - Individuals, 2-4 person relay Now through March 31 - $45,$30 April 1 through July 31 - $55,$40 Aug 1 through Oct 26 - $65,$50 Monster Mile - $20 (not timed) (different shirt/design) | | Regular | Registration: |
Late Registration/Packet Pickup - Individuals,2-4 person relay October 27 - $70,$55 | |
| Make checks payable to: The Goose Chase | ||||
| Mail this form to: Haunted Half Marathon 3101 Browns Mill Rd Suite 6-182 Johnson City TN 37604 | ||||
| Virtual option - Now through April 30 - $25 May 1 through July 31 - $30 Aug 1 through Oct 26 - $35 October 27- $40 |
| Headphones are permitted on the course | Strollers are NOT permitted on the course |
| For more info contact info@thegoosechase.org 423.946.0519 | Individuals Male & Female Awards: Overall (top 3) Top Masters Top GrandMasters Age Groups (top 3) ...19,20-29,30-39,40-49,50-59,60-69,70... | 4 person | 2 person Male & Female Awards: Top Overall Age Groups (top 3) CIRCLE ONE: 2-4 Person Relay: Top 3 Co-Ed, Female, Male |
| 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)_________________________________________ |
TEAM NAME____________________________ |
*** CIRCLE EVENT: Individuals | 4 person | 2 person |
*** 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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. |
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SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18) |