Name:
Address:
City:
State: Zip:
Home Phone:
Work Phone:
E-Mail:
Date of Birth: Age on race date:
Gender: M F
Shirt Size: S M L XL
Entry Fee: $15 $20 after 9/28
Event: 15K Run 5K Run 2 Mile Walk
Categories: Weight Class RRCA Club Team:
RELEASE: For and in consideration of my participation in the Great Allegany Run and other valuable consideration, receipt of which is hereby acknowledged. I do hereby agree, on behalf of myself, my heirs, executor, administrator and assigns, to indemnify, release and forever discharge The Run Organizing Committee, The Mayor and City Council of Cumberland, Queen City Striders, Downtown Development Commission, Downtown Cumberland Business Association, RRCA, USAT&F, and all sponsors; their officers, servants, agents and employees of said organizations, and volunteers associated with The Great Allegany Run, jointly and severally, and to hold and save harmless from and against any and all actions, claims, demands, judgements, liabilities, suits, loss, damage, or expense of whatever kind and nature, including attorney fees, whatsoever in case of any death or personal injury, which may at any time be incurred by reason of my participation in or preparation (before and after) for the aforesaid competition.
Athlete Signature __________________________________________________
(Parent/Guardian must sign for Runners under 18)
__________________________________________

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