Sugar Hollow Park, Bristol, VA

Woofstock 4K-4PAWS Sugar Hollow Park, Bristol, VA June 4, 2016

Kick-off for the 4K run/walk at 9:00 am in Sugar Hollow Park. You can run/walk with or without your pet. Packet pickup and late registration Saturday morning, June 4, Sugar Hollow Park until 8:30 am. You will receive a tie dye t- shirt with your packet! 4K-4Paws is part of the Woofstock Festival, a day for dogs, love, & happiness.

Pre-registration: $20 | Regular $25 on 6/3/16 and 6/4/16 (ends 6/2/16) | Registration: Make checks payable to: Margaret B. Mitchell Spay/Neuter Clinic Mail this form to: Margaret B. Mitchell Spay/Neuter Clinic 16222 Lee Hwy., Bristol, VA 24202

Headphones are permitted on the course | Strollers are permitted on the course 4K 4 Paws For more info contact: Male & Female Awards: Susan Taylor [email protected] Top 10 Male and Female, 276-591-5790 Top 10 Human/Pet Team

Woofstock 4K-4Paws 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)______

TEAM NAME (Human/Dog Name) ______

*** 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.

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