Stockyard Days 5K
REGISTRATION FORM

Saturday, August 9, 2008 


Last Name                       First Name                                Age on    Sex  

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                                                                          August 9    M/F
Mailing address (include apt. # and c/o)                    

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City and State                                                       Zip/Postal Code

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Birth date      Area Code       Telephone                          

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 Mo  Day Yr   

E-Mail Address 

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WAIVER. I am properly trained and enter this race totally at my own risk and hereby waive all claims that I or my heirs may have against all sponsors, race directors and all others associated with this race, for any injuries or problems I may sustain, regardless of any negligence. I am totally responsible for my safety and any injury I may suffer.. Further, I hereby grant full permission to any and all of the foregoing to use my name, likeness and voice, as well as any photographs, videotape, motion pictures, recordings and any other record of this event in which I may appear for any legitimate purpose including broadcast of the event, the reuse in any media of this broadcast and in advertising and promotion.

Signature
(by parent or guardian if
participant is under 18) ___________________________________________________

MAIL ENTRY FORM WITH $20 BY August 8 TO

Make check payable to Vacation Sports

MORE INFORMATION