Registration Form

Mail Completed Form & Entry Fee to:

Symphony Classic

630 Chestnut Street

Chattanooga, TN  37402

Name_____________________________________Age_______Sex________

Address______________________________________

City______________________________State______________Zip__________

Event     5k Run                        Shirt Size (Circle One)     S     M     L     XL

Registrations must be postmarked by September 1 to qualify for Early-Registration discount.

Waiver/Release (Must be Signed and Submitted with Registration)

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 these 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 Symphony & Opera Guild, Chattanooga Track Club, the City of Chattanooga and all sponsors, their representatives and successors 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.  Fees are non-refundable.

Signature:_______________________________________Date_______________

Signature of Guardian (If entrant is under 18 years of age):_____________________________