Fit Farmer 12K Trail Run


Flag Rock Area Trails, Flag Rock Recreation Area, Norton, VA

5/15/2021


8-8:45 a.m. Race Day Packet Pick-Up
9:00 a.m. Race Start

Pre-registration:
(ends 5/12/21)
Jan. 1-Feb. 28: $30
March 1-April 14: $35
April 15-May 15: $40
Part of the SFTC Trail Series
Make checks payable to: Norton Friends and Farmers Market
Mail this form to: Fit Farmer 12K Trail Run, City of Norton, C/O Katie Dunn, P.O. Box 618 Norton, VA 24273
Race benefits the Norton Friends and Farmers Market. Race also part of the High Knob Triple Crown series (www.highknobtriplecrown.wix.com/hktc.
Headphones are permitted on the course | Strollers are NOT permitted on the course
For more info contact
Katie Dunn, katied@nortonva.org, (276) 679-1160
Fit Farmer 12K Trail Run
Male & Female Awards:

Overall (top 3)
Top Masters

Age Groups (top 3)
29 & Under; 30-39; 40-49; 50-59; and 60 and over

Fit Farmer 12K Trail Run

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. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org