Chasin' Red Fox 10K


Cumberlland Fir, Fish & Game Club
12245 Potter Town Rd
Pound, VA 24279, Pound, VA

10/29/2022


October 29, 2022 at 8:30am

Pre-registration:
(ends 10/14/2022)
$25 per runner or $100 for a team of 5 people | Regular
| Registration:
$25 per runner or $100 for a team of 5 people
Make checks payable to: Town of Pound
Mail this form to: Town of Pound
Chasin' Red Fox
PO Box 880
Pound, VA 24279
5K Hike free of charge or 10K Race on the Historic Red Fox and Pine Mountain Trails. T-shirt guaranteed to the first 20 registrants. All runners should meet at the Cumberland Fir, Fish & Game Club at 12245 Potter Town Rd, Pound, VA 24279
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Debbi Hale
dhale43@gmail.com
276-870-3479
Chasin' Red Fox
Male & Female Awards:

Overall (top 3)
Masters (top 3)
GrandMasters (top 3)
Sen.GrMasters (top 3)

Age Groups (top 3)
...18,19-28,29-38,39-48,49-58,59-68,60...

Chasin' Red Fox 10K

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____________________________

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)


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