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Saturday, August 26, 2000 -- Uniontown, PA
O'Gillies - MVP Jewelers Classic 5K Run/Walk
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Make Checks
Payable To: O'Gillies - MVP Classic Age _____________
Mail To: O'Gillies MVP Classic 5K
75 Connor Street Sex _____________
Uniontown, PA 15401
Adult T-Shirt: M L XL
Name _____________________________________________________
(Please Print) First Name Initial Last Name
Address ______________________________ Phone _____________
City _________________________ State _____ Zip ____________
By my signature I hereby release all sponsors, officials and all
members of the 5-K Race Commitee from liability for any and all
injury, loss or damage which I might suffer or sustain by reason of my
participation in or caused by others pariticipating in the O'Gillies
MVP Classic 5K Run. I have trained sufficiantly to run a 5-K race.
Signature __________________________________ Date _________
Parent/Legal
Guardian Signature _________________________ Date _________
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