2020 Teal Stampede
Certified 5K/10K Race (and Virtual Races) and Fun Walk, Saturday, September 26
7 a.m. Registration, 8 a.m. Race
Participant Packet Pick-Up, Friday, Sept. 25, 5-7 p.m.
Western Arkansas Runners Building—Fort Chaffee—7000 Taylor Ave., Fort Smith, AR
Address ______________________________ City ____________________ State_____ Zip _______
Age on Race Date _________ Date of Birth ___________ Gender (circle one) M F
Phone Number ___________________ Email ____________________________________________
Shirt Size (circle one) S M L XL 2XL 3XL (ADD $2 FOR 2XL OR 3XL)
Entry Fee: $30 before September 12/$35 after September 12 through day of race. T-shirts guaranteed for those who register prior to September 12 and at day of race, if available.
Register on-line at: runsignup.com
Start and Finish at Western Arkansas Runners Building—Fort Chaffee—7000 Taylor Ave.
Contact Mary Jo Brinkman at (479) 650-0509 for more information.
Overall Awards for Top Male & Top Female Finishers In 5K and 10K
Age Division Awards (3 deep) in 5 year age groups for 10 - 80 & 9 and under.
Race (circle one) 5K Timed 5K Virtual 10K Timed 10K Virtual Fun Walk Timed Sleep In - Donation Only—No Participation—Shirt—$30
Waiver and Release:
I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in this race 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 and volunteering to work in club races including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, the conditions of the road and traffic on the course, 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 of my behalf, waive and release River Valley Ovarian Cancer Alliance and Leukemia & Lymphoma Society, ArkansasRunner.com and all sponsors, their representation and successors from all claims of liabilities of any kind arising out of my participation in the race and/or club activities even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.
Parent Signature________________________________ Date___________________________________________
(if under 18 years of age)