Run for the Arts 5K / 1 Mile Fun Walk


The University of Virginia's College at Wise / Gilliam Center for the Arts, Wise, VA

10/1/2022


9 a.m. - 5K Run; 9 a.m. 1-Mile Fun Walk; 8 a.m. - Open Registration

Pre-registration:
(ends 08/12/2022)
$20 - 5K Run, $12 - 1 Mile Fun Walk | Regular
| Registration:
$25 - 5K Run ($20 with Student ID), $12 - 1 Mile Fun Walk
Make checks payable to: UVA Wise Foundation
Mail this form to: The University of Virginia's College at Wise
c/o Jessica Necessary
1 College Avenue
Wise, VA 24293
Preregistration begins at 8 a.m. the morning of the race/walk. Both the Run for the Arts 5k Race and 1-Mile Fun Walk begin at 9 a.m. Those preregistered will receive a Run for the Arts t-shirt.
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Jessica Necessary, jjn5y@uvawise.edu, (276) 328-0256; https://www.uvawise.edu/academics/departments/visual-performing-arts/run-for-arts-5k
Run for the Arts 5K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
1-19, 20-29, 30-39, 40-49, 50-59, 60+

Run for the Arts 5K / 1 Mile Fun Walk

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, 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)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org