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Saturday, November 11, 2000 -- Morgantown, WV
WVU Student Nurses (SNA) 5K

Please send entry form to:
WVU-SNA 5K Run/Walk
c/o Jacob Tharpe
3202 Chesnut Hill Apts.
Morgantown, WV 26505

Return to the race [Details Page]


NAME__________________________________________________SEX_______


ADDRESS_________________________________________________________


CITY___________________________________STATE______ZIP___________


TELEPHONE_______________________________________________________


EVENT:  5K RUN____  5K WALK_____ T-SHIRT SIZE:  M     L     XL   

Age as of November 11, 2000_____ Date of Birth____________
WAIVER: I hereby, for myself, my executors, and my administrators, waive any and all rights and claims I may have against West Virginia University Student Nurses Association, individuals associated with this event, sponsors of this event, or suppliers for injury or damages suffered by me and which may arise out of or in any way be connected with this event. I knowingly assume all risks involved in this event.
_______________________________________________________________
SIGNATURE (PARENT OR GUARDIAN MUST SIGN IF UNDER 18 YRS OLD)

_____________________
DATE