Meet Information

13th Annual Faith In Action Ministries Athletics and Recreation
2019 Fall Developmental FTM Cross Country Meet Series
@ Churchland High School, Portsmouth, VA
2k, 4k & 5k
***September 21st & October12th ***
va MIDDLE SCHOOL XC STATE CHAMPIONSHIPS OCTOBER 26TH
VA AAU cross country DISTRICT cHAMPIONSHIPS November 2ND
VA USATF ASSOCIATION XC CHAMPIONSHIPS November 23rd
@ cHURCHLAND HIGH SCHOOL
SPONSORED BY: The Faith In Action Ministries Athletics and Recreation
Venue contacts are sent

Entry: $5 per race for runners ALL ages. DATES TENTATIVE** (Call 218-2767c- if Inclement/hurricane/sleet weather)

Course: Churchland High School
Awards: 1st, 2nd & 3rd place medals for each age division per gender.
Deadline---Please registerat least 1 hour before race time. ENTRIES CLOSE-10mins before race Example-Race entry close @ 8:20am for 2k, 8:50am for 4k & 9:35am for 5k.
Race Schedule: 2k @ 8:30am, 4k @ 9:00am & 5k @ 9:45am
Age groups:

Refreshments: At the finish. (Example-water)
Series Director: Marcia D Rose (757) 218-2767
Email: fiamathletics@yahoo.com
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________________________________
NO REFUNDS, EXCHANGES OR TRANSFER
INCOMPLETE RACE APPLICATIONS WILL NOT BE PROCESSED
NO ONLINE REGISTRATION
Payable to: F.I.A. Lions
Mail entries to: 6216 Old Townpoint Road, Suffolk VA 23435

Name: ____________________________** Age: _______** Birth date**: ____________ Race Date___________**
Sex (Circle One): Male, Female (If any race day changes you will be notified by text) Phone Number_________________**
Mailing Address**: ____________________________________________________________
City ________________________** State_______________** Zip ____________** email_____________________________ **
Team Name _______________________________** Unattached _______**
Race Division you are in (see division above) ______________ **
Individual Race Purchase___________ Series Purchase___________________ See Registration Fee above

I know that running or power walking is a potentially hazardous activity. I should not enter and 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 the run. I assume all risks associated with running in this event including but not limited to, falls, contact with other participants, the effect of weather, including high heat or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver, 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 FIALD, FIAMAR, the City of Portsmouth, Portsmouth Public Schools and Portsmouth Parks and Recreation, AAU, race officials, volunteers and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all of the forgoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purpose. I understand the 5k, 4k, 2k and walk are not intended for headphones, skateboards, or dogs on leashesI will abide by these guidelines

Signature ______________________________________________________Date_____________________

Coach or Parent Signature if under 18 years____________________________________ Date___________________