Donna J Ruoff Walk/Run For Life
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Name
*
First
Last
First Name, Last Name
Address
*
Line 1
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City
State
Zip Code
Country
Street, City, Zip, State
Phone Number
*
(XXX-XXX-XXXX)
Shirt Size
*
XXL
XL
Large
Medium
Small
Youth Large
Youth Medium
Youth Small
Email
*
(T-Shirt guaranteed if registration received by Sept 10th)
Entry Fee: $25, check payable to "Donna J Ruoff Memorial Fund"
Children 12 and under 15$, T-shirt included
Photographic and Liability Waiver:
I know that running/walking can be a hazardous activity. I assume all risks associated with running or walking, including, but not limited to, falls, weather conditions, contact with other participants, the effects of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, I for myself and anyone entitled to act on my behalf, waive and release all event partners, sponsors and volunteers, their representatives and successors from all claims or liability of any kind arising out of my participation in this run/walk even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, or other record of this event for any legitimate purpose without compensation to me.
Please click the following link to pay online.
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By clicking the submit button you are agreeing to the waiver listed above.
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