Eastman Road Race - Sept. 8th, 2012
Eastman Employee Center Wilcox Drive, Kingsport,TN
Fee: $9 thru 8/31... $15 after
State of Franklin Track Club members receive $1 discount
NO raceday registration / XX shirts are $2 extra
8:00 - Food City 10K (course will be shutdown after 80 mins)
9:30 - Day & Zimmermann 3K Run
10:15 - BlueCross/BlueShield 3K Walk
YOUR BEST RACE PACKAGE!
Performance Wicking Race Shirt
Dri-Release Running Socks
Pasta Dinner Friday night
Eastman HEALTH & Wellness Fitness Expo
Mail this form and check payable to ERC to:
Eastman Road Race
Toy F. Reid Employee Center
Kingsport, TN 37662-5310
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Brock Team Challenge:
Awards to top 3 teams in each event. Team = 4 members
with at least 1 female. Enter TEAM NAME below.
Community Participation Awards:
4 categories:
Church / School / Senior Club / Youth Club.
Win $ for your org by competing or volunteering.
Org with the most participants in each category will win $5/person
up to $500. Enter CATEGORY and ORG.NAME below.
School Rebates:
In addition to Community Participation Awards, each elem/middle/high school will receive $1 for each student
participant. Min. of 10 students. Enter SCHOOL NAME below.
Bring the kids to our Eastman Youth Runs on Friday 5:30-6:30pm. **
Youth Runs registration form **
For more info:
www.EastmanRoadRace.com or 423-229-3771 (days)
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Food City 10K
Overall (top 3)
Top Masters / Gr.Masters / Seniors (60+)
Age Groups (top 3): 11&under, 12-14, 15-19, 20-24, 25-29, 30-34,
35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80&up
| Day & Zimmermann 3K Run
Overall (top 3) Top Masters / Gr.Masters / Seniors (60+)
Age Groups
(top 3): 11&under, 12-14, 15-19, 20-24, 25-29, 30-34,
35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80&up
| BlueCross/BlueShield 3K Walk
Overall (top 3) Top Masters / Gr.Masters / Seniors (60+)
Age Groups
(top 3): 20-24, 25-29, 30-34,
35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80&up |
Eastman Road Race: (CIRCLE ONE) ----> 10K RUN / 3K RUN / 3K WALK
LAST NAME_______________________________________ FIRST NAME______________________________________
SEX___ AGE ON RACEDAY______ DATE OF BIRTH___/___/___
ADDRESS______________________________________________________________________
CITY______________________________________ STATE______ ZIP______________
PHONE (______)______-___________ EMAIL_______________________________________________
EASTMAN EMPLOYEE? USERID:_______________
STUDENT? SCHOOL NAME:________________________
TEAM NAME______________________________ SHIRT: XS, SM, MD, LG, XL,
XX (+$2 for XX)
COMMUNITY PARTICIPATION AWARDS:
ORG: _____________________________________ Category: CHURCH / SCHOOL / SEN.CITIZENS / YOUTH CLUB
IN SUBMITTING 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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