SWCC Homecoming Flying Eagle 5K Run/Walk


Charles R. King Community Center, Cedar Bluff, VA

9/28/2022


7:00 pm. Inaugural 5K glow run as part of the Southwest Virginia Community College Homecoming Festivities. Glow sticks will be provided, and first 50 entrants receive free t-shirt. Electronic B-tag timing by We Run Events.

Pre-registration:
(ends 09/28/22)
$25 | Regular
| Registration:
$25
Make checks payable to: SWCC Educational Foundation
Mail this form to: SWCC Educational Foundation
Attn: Annette McClanahan
P.O. Box 1101
Richlands, VA 24641
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Antwon VanBuren, Antwan.Vanburen@sw.edu
5K Run/Walk
Male & Female Awards:

Top Overall

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

SWCC Homecoming Flying Eagle 5K Run/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