Saturday, April 26, 2008 -- Morgantown, WV / Jack Roberts Park, First Ward neighborhood
Parents Place 5K Entry Form-MAGP Sprint #4 (iPO Event Id#: 10758)

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Early Registration: $15.00 MUST BE POSTMARKED BY APRIL 14th!
Race Day Registration: $18.00 - Make checks payable to: Parents' Place
Mail to: Parents' Place, 312 Jackson Avenue, Morgantown, WV 26501

Name:____________________________________________ Phone:_______________________

Address:__________________________________________ Date of Birth:_____________

Age as of 4/26/08:________ / Male:___ or Female:___

T-shirt size: Small:___ / Medium:___ / Large:___ / X-Large:____

Please check your choice for the event: Running_________ or Walking__________

In consideration of your acceptance of my application for entrance in the Parents' Place 5K, I, for myself and anyone entitled to act on my behalf, waive and release Parents' Place and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I release any photos that may involve myself:

Signature: ________________________________________ Date__________________

Entrant's Signature Parent of Guardian, if under 18:

Signature: ________________________________________ Date__________________