Name__________________________________________________________ Sex_______ Birth Date______/______/______ (Don't put today's date unless you were born yesterday) Phone______________________ E-Mail Address__________________________________ Address_____________________________________________________________________ City, State, Zip____________________________________________________________ T-Shirt Size: S ____ M ____ L ____ XL ____
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Fall Distance Frolic 30km Sunday, September 23, 7:30 am, Fairfield |
Fall Distance Frolic 156 Fillow St. Norwalk, CT 06850 |
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The Great Train Race 6.816 Mile Sunday, October 14, 8:25 am, New Canaan to Wilton |
156 Fillow St. Norwalk, CT 06850 |
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Police Pumpkin Chase 5km Sunday, October 28, 3 pm, New Canaan H.S. |
156 Fillow St. Norwalk, CT 06850 |
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I know that running in a race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running this event including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my application, I for myself and anyone entitled to act on my behalf, waive and release the race organizers, the cities and towns in which this event is held, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.
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