Saturday, September 19, 2009 -- Morgantown, WV / Marilla Park, East Brockway Avenue, Morgantown WV 26507
Toys-for-Tots Trot Run & Walk ENTRY FORM
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Make checks payable to: Toys for Tots
Mail-to: Toys for Tot Trot, Box 280, 364 Patteson Drive, Morgantown, WV 26505
Name______________________________________________________________________
Address___________________________________________________________________
City/State/Zip____________________________________________________________
Age on Race Day________ // Date of Birth______/_____/_____ // Circle: Male / Female // Circle: Run / Walk
T-shirt Sizes // Adult: Small___ Med.___ Large___ Xtra-Lg___ Child: Med.___ Large___
Waiver: In consideration of acceptance this entry toy the Toys for Tots Trot, I waive all claims for myself, my heirs and assigns against the Toys for Tots Trot organizers, race sponsors, and promoters for injury or illness which may result from my participation. I attest and verify that I have full knowledge of the risk involved in this event, that I am physically fit and sufficiently trained to participate. I have read the above statement, I understand it and my signature confirms its full acceptance.
Signature_______________________________________________________________
(Entrants under 18 years of age need a parent or guardian signature.)