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Sunday, April 15, 2007 -- Morgantown, WV
Ambulance Chase 5K-MAGP Sprint #1 (iPO Event Id#: 10008)
Student Bar Association (SBA)


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Make checks payable to: WVU College of Law SBA
Mail to: WVU College of Law SBA, PO Box 6130, Morgantown, WV 26506

(Print neatly - Enter All Applicable Information & Sign)

NAME:_______________________________________________________________

STREET:__________________________________ CITY:_____________________

STATE:_______ ZIP:___________ PHONE:(______) ________-______________

EVENT --- 5K RUN:____  5K FUN-WALK:____      MALE:____  FEMALE:____

DATE OF BIRTH (month/day/year) ____/____/____ AGE ON RACE DAY:______

SHIRT SIZE: Sm____  Med____  Large____  XLarge____ (Please Check One)
THE SMALL PRINT: In consideration of your acceptance of my application for entrance in the West Virginia University 7th Annual College of Law Ambulance Chase, I, for myself and anyone entitled to act on my behalf waive and release the WVU College of Law, all sponsors, their representatives and successor from all claims and liabilities of any kind arising out of my participation in this event.

___________________________________________________________________
SIGNATURE of ENTRANT

___________________________________________________________________
(Parent or Guardian, if under 18 years old)
Fee enclosed: LAWYERS:
NON-LAWYERS:
_____ $35
_____ $15 Run 15 if postmarked by April 2nd
_____ $20 Run after Apr 2nd, or race day
_____ $15 Fun Walk