2004 JOHNSON MENTAL HEALTH CENTER

10 K ROAD RACE

Proceeds will be used for Christmas funds for clients of the Johnson Mental Health Center

DATE:             October 2, 2004

TIMES:                 Registration – 8:00 AM

                                10K Road Race- 9:00 AM

LOCATION:                Moccasin Bend Gymnasium at historical Moccasin Bend.

Moccasin Bend may be reached by traveling Highway 27 toward Red Bank. Cross the Tennessee River and take the first exit (Manufacturer’s Rd). Turn left onto Manufacturer’s Road and proceed west until road forks. Bear left onto Hamm Rd. Follow to the stop sign. Turn left and follow the road to Moccasin Bend Mental Health Facility. Approximately 1.7 miles. Watch for signs.

COURSE:         All courses are out and back. Both courses will start at the gymnasium to the left of the main building at Moccasin Bend Hospital and proceed north down Pineville Road. The course is slightly rolling and considered to be one of the fastest in the area. The 10K race is certified and may be used to qualify for the Peachtree Road Race. Water will be available at the halfway point. 

AWARDS:       A long sleeved T-shirt will be given to all participants. Commemorative mugs will be awarded to the top 2 male and female age group winners.

AGE GROUPS:   under 19      20-24                25-29                30-34                35-39                40-44                45-49                50-54                55-59                60-69                over 70

FEES:               $15.00 Pre registered                 $20.00 Day of Race

ENTRY FORMS: Pre registration deadline is September 24, 2004. Mail completed entry forms and make checks payable to Johnson Mental Health Center P.O. Box 4028 Chattanooga, TN 37405. For more information please contact: Toni Wright at 634-8884.

                             BABY JOGGERS and STROLLERS, SKATEBOARDS, ANIMALS, HEADSETS, BICYCLES, and ROLLER BLADES ARE NOT ALLOWED IN THE RACE

10 K ROAD RACE

 Name:_______________________________________________________________   Age:________   Sex:______

Address:______________________________________________________________________________________

City and State:_________________________________________________________  Zip Code:_______________

Shirt Size: (Circle One)                S                M                L                XL         

WAIVER/RELEASE: I know that running a road race is a potentially hazardous activity, and I should not enter or 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 this run. I assume all risks associated with running this event, including but not limited to: Falls, contact with other participants, the effects of  the weather, including high heat and humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing the facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Chattanooga Track Club, all sponsors, their representatives and successors from all claims or liability of any kind arising out of my participation in this event even though this liability may be the result of negligence on the part of the persons named in this waiver.

Name:________________________________________________________________  Date:_________________