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AGE DIVISIONS
9-13 45-49
14-18 50-54
19-24 55-59
25-29 60-64
30-34 65-69
35-39 70-79
40-44 80+
Waiver
of Liability: In consideration of the acceptance of my
entry, I hereby, for myself, my heirs, executors and administrators, do release
and discharge any and all sponsors of this 5k Run/Walk of any damages, demands
or actions in any manner arising or growing out of my participation in the
run/walk. I attest and verify that I
have full knowledge of the risk involved in this event and that I am physically
fit and sufficiently trained to participate.
Signature:
____________________________________________________________________
Last
Name: ______________________________
First Name: __________________________
Address: ___________________________________________
Phone: ____________________
City:
Age: __________ (Please Mark) Male ____ Female ____ Shirt
Size: S M
L XL