FIFTH ANNUAL OAKTON COUGAR 5K

Make Checks Payable to: Oakton Athletic Boosters.
Mail Check & Entry Form: Cougar 5K, c/o racePacket, PO 25094, Arlington, VA 22202.

Registration Form

         Name: 
      Address: 
         City: 
        State:    Zip: 
   Work Phone: 
   Home Phone: 
       E-Mail: 
Date of Birth:    Age on race date: 
       Gender: M F
      T-Shirt: Yes No
   Shirt Size: S M L XL
        Event: 5K 2K Fun Run
    Entry Fee: On or before March 17 $18 $13 (without T-shirt)
               After March 17 $20 $15 (without T-shirt)
               Fun Run $5

Waiver Must Be Read and Signed Before Mailing:

I know that running a road 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, contact with other participants, effects of the weather including high heat and/or humidity, traffic and the condition 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 entry, I, for myself and anyone entitled to act on my behalf, waive and release Cougar 5K, Oakton High School, Oakton High School Athletic Boosters, RacePacket, Inc. and any other sponsors and their representatives and successors from all claims or liabilities of any kind arising out of my participating in the event even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I recognize that headphones, dogs, and racing strollers are not permitted. I grant permission to all the foregoing to use any photographs, motion pictures, or any other record of this event for any legitimate purpose.


_______________________________  _____________ _____________________________________
Signature                        Date          Parent's Signature if under 18

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