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Sunday, November 7, 1999 -- Morgantown
Make Checks payable to: WVU Foundation
Mail entry forms to: WVU Foundation OR
Deliver Forms To: Mountainlair Administrative Office Click here to return to the race Details Page NAME: Last___________________________First____________________ PHONE: ( )__________________________________________ ADDRESS: Street_______________________________________________ City______________________________State_______Zip____________ AGE ON NOV 7, 1999:______DATE OF BIRTH:________________ HIGH SCHOOL STUDENT?_________COLLEGE STUDENT___________ MALE:____FEMALE_____FREE T-SHIRT SIZE: M L XL Please Check One: 5K RUN:_______ 2K WALK:_______ Registration Fees:$10 in advance/$12 on race dayRELEASE RESPONSIBILITY: I acknowledge that the race course for the Jackson & Kelly Mountaineer Week 5K Run/2K Walk is 5 Kilometers/2 Kilometers long and extends up and down steep hills. My participation is voluntary and is done at my own risk. In consideration of acceptance of my entry, I, the undersigned, intending to be legally bound thereby, for myself, my heirs, executors, administrators, and assigns, waive and release, any and all rights and claims for damages I may have against the WVU Foundation, Student Foundation, it's Board of Managers and the Mountaineer Week Committees, and any sponsors of the race for any and all injuries suffered by me which may result from my participation, or from the participation of the minor that I am signing for in the Jackson & Kelly Mountaineer Week 5K Run/2K Walk. I attest that I am physically fit and have sufficiently trained for the competition of the race. I understand and agree that medical or other services rendered to me by or at the insistence of any of the above parties is not admission of liability to provide any such services and is not a waiver by any said parties of any right hereunder. I have read and understand everything written above. SIGN:______________________________________________________ DATE:______________________________________________________***Please remember to include Application and Check in envelope*** |
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