May the Course Be With You


Holston Home Cross Country Course 404 Holston Dr. Greeneville 37743
Please park at 401 Holston Dr (parking lot across the street from the start field), Greeneville ,

5/8/2021


8 AM 5K run/ walk

Pre-registration:
(ends 04/18/2021)
$20.00 until 4/18/2021 T-shirt guaranteed until then
| Regular
| Registration:
$25.00 after 4/18/2021 day of registration accepted.
Make checks payable to: GMS Athletic Boosters
Mail this form to: 433 E. Vann Rd Greeneville TN 37743
Race day registration accepted.
We will be following COVID precautions asking everyone to wear a mask and physically distance from nonfamily members.
Please reframe from entering the main campus of Holston Home
Headphones are NOT permitted on the course | Strollers are permitted on the course
For more info contact
Kelly Lamons or Laura Lenker
lamonsk@gcschools.net or lenkerl@gcschools.net
423.639.7841
May the Course Be With You
Male & Female Awards:

Overall (top 2)

Age Groups (top 2)
...19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

May the Course Be With You

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: 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. 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