CANCELED! Mighty Viking 5K Run/Walk


Tennessee High School
1112 Edgemont Dr.
Bristol, TN, Bristol, TN

12/3/2022


2:00 pm. 1st annual 5K Run/walk to support Tennessee High Boys Basketball. Good course with portions along greenway and residential areas surrounding Tennessee High School. Exciting finish inside Stone Castle stadium.

Pre-registration:
(ends 12/01/2022)
$30, $20 students 19 under | Regular
| Registration:
$35, $25 students 19 under
Make checks payable to: Tennessee High Boys Basketball
Mail this form to: Tennessee High Boys Basketball
1112 Edgemont Dr
Bristol TN 37620
Headphones are permitted on the course | Strollers are permitted on the course
For more info contact
Shellie Phillips, tenniaphillips@gmail.com 423-773-3547
Mighty Viking 5K Run/Walk
Male & Female Awards:

Top Overall

Age Groups (top 3)
18 under, 19-35, 36-50, 51-65, 66 over

CANCELED! Mighty Viking 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)


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