Sunday, March 18, 2007 -- Grafton, WV
Grafton 4.7-Mile Run (iPO Event Id#: 7840)

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Make check payable to: GHS GIRLS' TRACK
MAIL TO: Eva Robinson c/o Grafton High, 400 Riverside Drive, Grafton, WV 26354

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NAME:________________________________________________

STREET:______________________________________________

CITY:______________________________STATE:____________ 

ZIP:___________ PHONE:(______) ________-______________

MALE:____  FEMALE:____   EMAIL:_______________________

EVENT: 5 Mile Run:____ 2 Mile Walk:____  Kids Run:____

AGE:___ (On March 18, 2007)  

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.

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SIGNATURE
(Parent or Guardian, if participant under 18 years old)