EASTMAN / HealthFitness Youth Runs - Fri. Sep. 8th, 2017

V.O. Dobbins field
(please park at Eastman Employee Center and walk over)
Fee: $5 thru Fri 9/1... $10 after

10:30am-1:30pm: Registration & packet pickup @ Employee Center
3:30-5:30pm: Registration and packet pickup @ VO Dobbins field
5:30: Warm ups
6:00: RACES BEGIN
4:30-8pm: Pasta dinner at the new Eastman Business Center

Participants will run the following distances:
2-3yrs: 60yds / 4-5yrs: 120yds / 6-7yrs: 200yds
8-9yrs: 400yds / 10-11yrs: 600yds / 12-14yrs: 1/2-Mile

Tshirts for all participants, Ribbons for all finishers
Medals for top 3 boys/girls in each age group

Free dinner
at the Eastman Corporate Business Center for all runners
Extra dinner tickets are available at the door for
$2 /kids (2-14) and $5 /adults (15+)
Community Participation Awards:
4 categories: Church / School / Senior Club / Youth Club.
Win $ for your org by competing or volunteering. Organization with the most participants in each category will win $5/person up to $500. You must 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 on the form below.

For more info contact Robin Hartley  (rhartley@eastman.com) / 423-224-7538 or visit www.EastmanRoadRace.com

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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EASTMAN / HealthFitness Youth Runs

LAST NAME_______________________________________  FIRST NAME______________________________________

SEX______       AGE ON RACEDAY______                 DATE OF BIRTH _____/_____/_____

ADDRESS______________________________________________________________________

CITY______________________________________   STATE______   ZIP______________

PHONE (______)______-____________    EMAIL______________________________________________

SHIRT: YS, YM, XS, SM, MD, LG


STUDENT? SCHOOL NAME:____________________________

COMMUNITY PARTICIPATION AWARDS:     Org Name: ___________________________________
                                     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/guardian)