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Sunday, October 24, 1999 -- Morgantown
1st Annual WVU-SNA 5K Run/Walk

Please send entry form to:
WVU-SNA 5K Run/Walk
652 Price Street, Rm #28
Morgantown, WV 26505

Click here to return to the race Details Page


NAME__________________________________________________SEX_______


ADDRESS_________________________________________________________


CITY___________________________________STATE______ZIP___________


TELEPHONE_______________________________________________________


EVENT:  5K RUN____  5K WALK_____ T-SHIRT SIZE:  M     L     XL   

Age as of October 24, 1999_____ Date of Birth____________
WAIVER: I hereby, for myself, my executors, and my administrators, waive any and all rights and claims I may have against West Virginia University Student Nurses Association, individuals associated with this event, sponsors of this event, or suppliers for injury or damages suffered by me and which may arise out of or in any way be connected with this event. I knowingly assume all risks involved in this event.

_______________________________________________________________
SIGNATURE (PARENT OR GUARDIAN MUST SIGN IF UNDER 18 YRS OLD)

_____________________
DATE

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