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Sunday, March 16, 2008 -- Grafton, WV / Grafton High School
Grafton 5-Mile Run-MAGP Endurance #1 (iPO Event Id#: 10700)
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NAME:__________________________________________________________________________________

STREET:________________________________________________________________________________

CITY:_______________________________________________________________  STATE:____________ 

ZIP:__________________           PHONE:(__________) _______________-____________________

MALE:______  FEMALE:______   EMAIL:________________________________________________

EVENT: 5 Mile Run:_____ 2 Mile Walk:_____  Kids Run:_____ // AGE:___ (On March 18, 2007)  

SHIRTS SIZE (adult): S   M   L   XL

WAIVER: In consideration of the acceptance of this entry, l waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. l also release any photos that may involve myself.

___________________________________________________________________________________
SIGNATURE --- (Parent or Guardian, if participant under 18 years old)