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Sunday, October 18, 2015 -- Morgantown, WV / Hazel Ruby McQuain Riverfront Park
WVTC/MRTC Replacement Race 10K - MAGP #11 (iPO Event Id#: 15898)

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NAME:______________________________________________________  MALE:___ FEMALE:___

ADDRESS:_____________________________________________________ AGE ON 10/18/2015 ______    

CITY:_______________________________________ ST: _______ ZIP:___________________

Date of Birth ______________________________ 
In consideration of your acceptance of my application for entrance in the RWVTC/MRTC Replacement Race 10K, I, for myself and anyone entitled to act on my behalf, waive and release the Morgantown Roadrunners, W.V. Track Club, Mon River Trails Conservancy, ParksTime,, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I understand this race will be run on dirt, gravel and asphalt trails through a highly scenic area. This scenic beauty may distract me and cause me to face plant, but I'm gonna do it anyway.

Signature of Entrant:_________________________________ Date:________________
[Parent must sign if under 18]


MAIL TO: ParksTime, 402 BB King Rd, Bruceton Mills, WV 26525