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     		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)
    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)