Saturday, April 28, 2007 -- Morgantown, WV
Parents Place 5K - MAGP Sprint #2 (iPO Event Id#: 10009)
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Early Registration: $12.00 MUST BE POSTMARKED BY APRIL 14th!
Race Day Registration: $15.00 - 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 4/28/07:________ Male:___ Female:___ T-shirt size Small:___ Medium:___ Large:___ X-Large:____ Please check your choice for the event: Running_________ 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____________