Restore Your Sole 5K - Registration **Pre-Register before the event for $25. **Registration at the event is $30. Link to donate/pay: https://interland3.donorperfect.net/weblink/weblink.aspx?name=E254278&id=7
***Race proceeds will benefit the Haven of Rest Rescue Mission as they help
the homeless and hungry of the Mountain Empire***

DATE: Saturday, May 1st, 2021.
LOCATION: Virginia Creeper Trail, Green Spring Road, Abingdon, VA
TIME: 8:00 AM Registration / 9:00 AM Race / Awards Follow
COST: Pre Registration: $25.00. Day of Race: $30.00

To pay registration online: https://interland3.donorperfect.net/weblink/weblink.aspx?name=E254278&id=7

To pay registration by check: Make payable to "Haven of Rest Rescue Mission"
Mail check(s) to "Haven of Rest Rescue Mission, 624 Anderson Street Bristol, TN 37620

FREE t-shirt for all participants, awards for top 3 men & women, certificates for top 3 in age bracket

***PLEASE take a picture of this section to keep all race information accessible to you.***
Name *
Birthday *
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DD
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YYYY
Age on Race Day *
Address *
Email *
Day of Race Emergency Contact (Name & Number) *
Shirt Size *
I will pay by... *
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. *
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