Saturday, August 18, 2007 -- Elkins, WV / Davis and Elkins College
9th Annual Kenneth Cunningham 5K XC Open
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Please make all checks payable to Elkins Middle School Cross-Country OR EMS Cross-Country
Send entries to: Todd Price, Ken's 5-K X-C Run, Rt. 3, 213 Hickory Drive, Elkins, West Virginia 26241
NAME: ____________________________________________________________ AGE on 08/18/07 ___________ SEX: M or F ADDRESS:_________________________________________________________ CITY:____________________________ STATE:_________ ZIP:_____________ PHONE:_________________________________________________________ Shirt size: _____Youth Med _____Youth Large (Adult) _____Med. _____Large ______X-Large ______XX-Large PLEASE CIRCLE: TEAM EVENT 2-MILE WALK 5-K RUN _ 1/2 MILE X-C RUN 400 METER RUN Release Waiver: I, the undersigned, in consideration of my entry in the Kenneth Cunningham 5-K Cross-Country Run, do certify that I am physically fit and suitably trained to participate in said event. I agree to be bound by all rules of the race and decisions of the officials. I hereby forever release and discharge the organization and sponsors holding this event, its agents, representatives, successors, and assigns from any and all claims, courses of action, and suits which shall or may have arisen as a result of my participation in said event.
______________________________________________ Date:______________ Signature of the Runner ______________________________________________ Date:______________ Signature of Parent or Guardian if applicant under 18 years of age.