Chickamauga Chase
Chickamauga & Chattanooga
National Military Park
April 19, 2008
8:30 a.m. race start
Waiver
IMPORTANT: Each entrant must read and sign the waiver and indemnification agreement below and send it with the completed registration form attached.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, wave and release the Chattanooga Track Club, Chickamauga & Chattanooga Military Park, Friends of the Park, all sponsors, their representatives and successors, including the Road Runners Club of America, its officers, directors, agents and employees, from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I understand that bicycles, skateboards, baby joggers, roller blades or inline skates, animals, and headsets are not allowed in the race and I will abide by this guideline.
I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event.
__________________________________________
SignatureDate
__________________________________________
If Under 18, Signature of Parent or GuardianDate
Make check payable and mail to:
Chickamauga Chase
P. O. Box 4438
Chattanooga, TN 37405
Entry Form
One Person Per Form 
Register online at Active.com
Please Print
___________________________________________
Entrant’s Name
___________________________________________
Address
___________________________________________
City State Zip
___________________________________________
Telephone # Emergency #
___________________________________________
Age on 4/19/08
Date of Birth________
Male 
Female
T-shirt Size :
S 
M
L
XL
XXL
| 15K | |
5K | |
Scenic Walk | |
Wee-One in Stroller | |
| Entry Fee: | by 4/14 | after 4/14 | |
| 15K or 5K |
$20 | $25 | $_______ |
| Scenic Walk |
$12 | $15 | $_______ |
| Wee One |
$5 | $5 | $_______ |
| Shirt Size 12-18mo____ 3T____ | |||
| Chase Baseball Cap |
$12 | $_______ | |
| Extra Race Shirt Size _____ |
$10 | $_______ | |
| Extra Wee One Shirt |
$5 | $_______ | |
| Shirt Size 12-18mo____ 3T____ | |||
| Chattanooga Track Club
Member Discount (Current Members Only) |
$-3 | $_______ | |
| Total Enclosed | $_______ | ||