|
Sunday, April 3, 2005 -- Grafton, WV
Grafton 5-Mile Run
(iPO Event Id#: 6678)
Return to the Details Page
Make check payable to: GHS GIRLS' TRACK
MAIL TO: Eva Robinson, Grafton High, 400 Riverside Drive, Grafton, WV 26354
NAME:________________________________________________
STREET:______________________________________________
CITY:______________________________STATE:____________
ZIP:___________ PHONE:(______) ________-______________
MALE:____ FEMALE:____ EMAIL:_______________________
EVENT: 5 Mile Run:____ 2 Mile Walk:____ Kids Run:____
AGE:___ (on April 3, 2005)
SHIRTS SIZE (adult): S M L XL
WAIVER:
In consideration of the acceptance of this entry, l waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. l also release any photos that may involve myself.
____________________________________________________
SIGNATURE
(Parent or Guardian, if participant under 18 years old)
|
