Join us for the second race in the Kids Championship Series. No fee, but registration is required. Register via mail using the form below or
online (this option is now closed) Pre-registration preferred! Race will start at 10:00 am.
Please contact Susan Noble with questions at susanmnoble@verizon.net.
OFFICIAL ENTRY FORM
B&A Trail Kids Run
March 2, 2008 – 10:00 a.m.
To register, complete and return this form (no fee required).
Mail to: Susan Noble,
Sex: M F
DATE OF BIRTH: ________________
Age on March 2, 2008:__________
Mom or Dad Strider: Yes
No
Waiver and Release: I recognize that
participation in this activity may involve
certain hazards. I
understand that I should not participate unless medically able. I
assume the risks
associated with involvement in this activity, including but not limited
to falls, contact
with participants, effects of weather and road and traffic conditions,
these risks being
known and appreciated by me. Having read this Waiver Release
and considering
the acceptance of my application, I, for myself and anyone entitled
to act on my
behalf, waive and release the
Club of
from any claim of liability arising
from my involvement in this activity.
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NAME:
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ADDRESS:
CITY/STATE/ZIP:
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PHONE: EMAIL:
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SIGNATURE OF ENTRANT
OR PARENT IF UNDER 18:
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