Runners: 1 Mile on the Track Race Walkers: 1500 Meters on the

Runners:1MileontheTrack
RaceWalkers:1500MetersontheTrack
USATFVirginiaAssociation
Open&MastersRaceWalkChampionship
Saturday,June11th6:45-7:45amCheckIn
TallwoodHighSchool
1688KempsvilleRoad,VirginiaBeach23464
TheseareTidewaterStriderRunning&Walking
GrandPrixEvents:AGoldenRunnerRace
Awards
Runners:Top3OverM/F,Top3MasterM/F,Top3inFollowingA/GM/F:
6&under,7-8,9-10,11-12,13-19,20-24,25-29,30-34,35-39,
40-44,45-49,50-54,55-59,60-64,65-69,F70+,M70-74,M75+
RandomRelays:Top2Teams,M/FWalkers:Top5OverallM/FandUSATF
walkermembersareeligiblefortop3placesawardsinA/Gs.Walkersdo
NOTneedtobeUSATFmemberstocompeteinracewalkheats.However
sincewalkingheatsaresanctioned,OnlyUSATFmembersareeligiblefor
A/Gmedals.USATFmembershipinfoatwww.usatf.com
6:30amTrackOpen 9amRandomRelay-Includedinallrunning
6:45-7:45amCheckin/Registrationentries.RelayTeamassignmentbydrawing
st
nd
7:451 RWHeat9:152 RWHeat/RunnerAwards
st
8:151 RunningHeat;subsequentheats10amRaceWalkAwards
Every10min
(IFUNABLETOREGISTERONLINE,TEAR/CUTHEREANDMAIL)
MakeChecksPayabletotheTidewaterStridersandmailto:652BottinoLaneVirginiaBeach,VA23455
(Norefunds,ExchangesorTransfers,Incompleteapplicationswillnotbeprocessed)
RaceDirector:SteveShapiro–[email protected]
IndividualCompetitorsEntryFees
Pre-RegistrationFee(postmarkbyJune5)
GolderRunnersmustPre-registerbyJune5toavoidfee
CheckOne:
Runner________ Walker_______
StriderMember
NonStrider
Ifawalker,areyouanUSATFMember?No____Yes____
18&Older
$14
$19
2016USATFMembership#_____________
17&Younger
$11
$16
USATFRacewalkingRulesofCompetitionwillbefollowed.
PostmarkedafterJune5&RaceDay
AllRunnersandWalkers:$25
Name(First,MI–Last)
RequiredPredicted1Mile(Runner)/1500M(Walker)Time Age
Gender
TidewaterStriderPhoneNumber
M
F
Y
N
- - StreetAddress
City
State Zip
`
GoldenRunnerNo
EmailAddress
IunderstandthatrunningandRacewalkingarepotentiallydangerousactivitiesonatrack.IshouldnotentertheraceunlessIammedicallyableandproperlytrained.I
agreetoabidebyanydecisionofaraceofficialrelativetomyabilitytosafelycompletetherun.Iassumeallriskassociatedwithrunninginthisevenincludingbutnot
limitedtofalls,contactwithotherparticipantsandtheeffectofweatherincludingheatandhumidity;andallsuchrisksbeingknownandappreciatedbyme.Having
readthiswaiverandknowingthesefactsandinconsiderationofyouacceptingmyentry,I,formyselfandanyoneentitledtoactonmybehalf,waiveandreleasethe
TidewaterStriders,RRCA,USATF,VirginiaAssociationUSATF,theCityofVirginiaBeach,theVirginiaBeachPublicSchoolSystem,TriDuo.com,raceofficials,volunteers,
andallsponsors,theirrepresentativesandsuccessorsfromallclaimsandliabilitiesofanykindarisingoutofmyparticipationinthisevent.Igrantpermissionforallof
theforgoingtouseanyphotographs,motionpictures,recordingoranyotherrecordofthiseveforlegitimatepurposes.Iunderstandthatthisisaraceconducted
undertherulesoftheRRCAandUSATFandisnotintendedforbabyjoggers,headphones,skates,rollerblades,anddogleashes,andIwillabidebytheguidelines.
Signature(Parentifunder18) Date