Saturday, July 12, 2008 -- Arthurdale, WV / Arthurdale Historic District
2008 New Deal Festival 5K Run & 2-Mile Walk
REGISTRATION FORM
Mail To: NEW DEAL FESTIVAL 5K RUN & 2-MILE WALK, P.O. Box 850, Arthurdale WV 26520
Waiver: In consideration of acceptance of this entry, I for myself, my executors, administrators and assignees do hereby release Arthurdale Heritage, Inc. and other race sponsors for all claims of damage, demands, actions whatever in any manner arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event. I also release any photos that may involve myself.
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Signature of Participant or Guardian (if participant is under the age of 18)
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Date
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Name
_________ Age on 7/12/08 ... Birth Date _______/________/_______
Address____________________________________________________________________
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City/State/Zip_______________________________________________________________
Phone (_____________)_________________________ ... Sex: M ___ F ____ ... Run_____ Walk_____
E-mail ____________________________________________________________
T-Shirt size: S_____ M_____ L_____ XL_____ XXL_____