SATURDAY, February 2, 2008
Last Name First Name
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EVENT Yukon Mile Run |__| YuKon 3 Mile Run |__| 3 Mile Snowshoe Race |__|
Mailing address (include apt. # and c/o) Sex
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M/F
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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Sweat shirt Size Small |__| Medium |__| Large |__| X Large |__|
Knowing these facts, and in consideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release, and discharge all sponsors and organizers of the Yukon 1 Mile, Kid 3 Mile Run and 3 Mile Snow Shoe Race, and any other organization associated with the race race officials, volunteers, any and all sponsors including their agents, employees, assigns or anyone acting for or on their behalf, from any and all claims or liability for death, personal injury, or property damage of any kind or nature arising out of, or in the course of, my participation in this event. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.
I have read the foregoing and certify my agreement by my signature below.
Signature
(by parent or guardian if
participant is under 18) ___________________________________________________