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Registration Runn Final PDF

Registration Runn Final PDF

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Published by ayekaebayxo

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Published by: ayekaebayxo on Dec 21, 2010
Copyright:Attribution Non-commercial

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12/21/2010

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February 5
th
2011
 
in Wickham Park @ 7:30
 
$12 before January 29
th
and $16 on race day
I, the undersigned, in consideration of acceptance of the entry and registration as participant of the 5k Family Fun Run hold harmless and waive any and all claims which I and my heirs or assigns may nowor hereafter have against the sponsors of 5k Family Fun Run, and all of the officials which mayindirectly or directly result from my participation in this event. I further warrant and represent that Iam in proper physical condition to participate in this event and am not participating in this event 
against physician’s advice nor am I taking medication which would impair my health or ability to
participate in this event.
Signature of Parent or Guardian:
 
 _________________________________________________________ 
 
(if participate is under the age of 18)
Signature of Participant:
 
 __________________________________________________________________ 
Participants name: ______________________ Age: ______________ Gender: M FShirt Size: S M L XL Phone number: (___) __ __ __ __ __ __ __ Email: _______________

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