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Run for a Rescue Registration

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  • Run for a Rescue Registration


(*) denotes required information.

* Full Name:
* Address:
* City:
* State:
* Zip:
* Email:
*Birthdate xx/xx/xxxx:
* Gender
* T-Shirt Size, choose one:
* Will you be bringing a pet to the race?
   

Waiver and Agreement (entry form not valid unless signed below):

I, the person submitting this entry, am aware that participating in an event such as a 5k race is a potentially hazardous activity, and that I (or my child, if I am signing as a parent or guardian) should not so participate unless physically able. I certify that I am (or my child is) medically fit to participate, and will have sufficiently trained for the event prior to participation. I (and my child, if I am signing as parent or guardian) agree to abide by the rules and the decisions of any event or any associated event or activities, including (but not limited to) falls, contact with other participants, effects of the weather such as high heat and/or humidity, and traffic or road conditions, all such risks being known and appreciated.

 
* Signature:
Signature of Parent or Guardian if under 18 years of age: