Saturday, June 5, 2010 -- Charleston, WV / University of Charleston (UC)
2010 Beat Beethoven 5K Fun Run/Walk
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Please make checks payable to the WVSO
Mail completed entry form to:
Symphony Fun Run/Walk * P.O. Box 11887 * Charleston, WV 25339
NAME_______________________________________________________________
MAILING ADDRESS____________________________________________________
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PHONE______________________________________________________________
EMAIL______________________________________________________________
AGE BRACKET: _____20 & Under /_____21-30 /_____31-40 /_____41-50 _____51-60 /_____61+ GENDER: ____Male or ____Female I Plan to: _____WALK _____RUN T-Shirt Size (Performance T): __________ Only pre-registered participants are guaranteed a t-shirt
Discalimer: "In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against the West Virginia Symphony Orchestra, sponsors, the City of Charleston, the County of Kanawha, the State of West Virginia, and volunteers of the race, their representatives, successors and assignors, of any and all injuries suffered by me in said event. I attest and verify that I am physically fit and have trained for the competition of this race and my physical condition has been verified by a licensed medical doctor."
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Signature (Parent/Guardian must sign if under 18)