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Sunday, April 18, 2010 -- Morgantown, WV / Krepps Park
5k Race for Justice (iPO Event Id#: 12618)
-- Return to the Details Page

Make checks payable to: WVU College of Law SBA/5K Race for Justice

Mail to: WVU College of Law SBA, 5K Race for Justice, P.O. Box 6130, Morgantown, WV 26506

(Please PRINT neatly - Enter All Applicable Information & Sign)


NAME _____________________________________________________________________

ADDRESS __________________________________________________________________

__________________________________________________________________________

MALE ____  FEMALE ____ // DATE OF BIRTH (month/day/year) ____/____/____ 

AGE ON RACE DAY______ // T-SHIRT SIZE: S____  M____  L____  XL____ (Check One)

PHONE:(______) ________-______________

EVENT: 5K RUN____ or 5K WALK____      

Fee enclosed: _____ $25 Lawyers
_____ $20 if postmarked by April 9th
_____ $25 after April 9th, or race day
_____ $20 Fun Walk

THE SMALL PRINT: In consideration of your acceptance of my application for entrance in the West Virginia University 10th Annual College of Law Race for Justice, I, for myself and anyone entitled to act on my behalf waive and release the WVU College of Law, all sponsors, their representatives and successors from all claims and liabilities of any kind arising out of my participation in this event.


___________________________________________________________________
SIGNATURE of ENTRANT

___________________________________________________________________
(Parent or Guardian, if under 18 years old)