Saturday, March 25, 2000 -- Connelsville, PA
Yough River Trail 1/2 Marathon

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Name___________________________

Adress_________________________ City_________________

State_________ Zip_________ Phone____________________

Sex: M  F  Age_______ Date of Birth__________________

Event:  1/2 Marathon     5K Run       5K Walk

T-Shirt Size:   M     L     XL

In consideration of my entry being accepted, I hereby, for myself, my heirs, executors, successors, and assigns, waive, release, and discharge any and all right for damages or liability of any kind relating to or arising out of my participation in this event, even though that liability may arise out of the entities or persons named in this waiver and release. I attest that I am physically fit to participate, my condition has been verified by a licensed medical doctor and I assume entry into this race at my own risk. I have read the above conditions and accept them and understand that I am entering at my own risk.

Date: ___________

Signature:_______________________________
(Parents Signature for children under 18)