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Fit &
Fun 5K Run & Walk Saturday May 29, 2010 Newfane Elementary School |
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5K - $15 Individual /
$25 Family
Please fill out 1 application per
person
Kids Run FREE (13 & Under)
Make check payable to: Newfane Elementary School PTO,
and mail to: Fit & Fun 5K Registration, PO Box 376, Newfane, VT 05345
Name :______________________________________
Circle Individual Family
Entry
Send all family entries together in 1 envelope
Circle Gender: M F Age:______ Circle T-Shirt Size: Youth: S M L Adult S M L XL
Address :_______________________________________ Phone:______________________
City :_ ___________________State:___ Zip Code:______ Email:________________________
Circle Event: 1/2 Mile Fun Run 5K Runner 5K Walker (Circle runner if you plan to run ANY portion)
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I know that running is a potentially hazardous activity. I should not enter or run/walk this event 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/walk. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the Newfane Elemntary School; 3C Race Productions LLC; the town of Newfane, Vermont; 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. All fees are nonrefundable. |
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